HomeMy WebLinkAboutDrain Layers Permit 058 Cardinal Way Pg iM No. 6943 Town of South Windsor, CT
Permit sate 12/29/1998 Drain Layer Permit
Expiration Date 01/28/1999
Descrip: CK 8644 AND 8643
Applicant Location
Name JMJ CONSTRUCTION CO. � �p �4 0 CARDINAL WAY
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Addr. 658 ELLINGTON ROAD ._ Cj.A K REALTY INC
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SOUTH WINDSOR CT 060 i f�
Phone No. (860)528-7889
The Drain Layer_ aslgnc ahl rt►1 #hasi �' id� lvicense issued by the
state and hereby agree - 1,f;"the 1 r nd Jtt6m set forth in the
attached 'Conditions' 1 c rk" h � # # � ac of c at w i th Town of South
W i ndsor standards, al 1 OFA egi �� � rirhd f ; a #shed conditions
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Issued By E f
Date Inspected !/��T� � 4, ` , rspe £!
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6943 Contractor JMJ CONSTRUCTION CO.
Location 0058 CARDINAL WAY Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. (860)528-7889
i
Date Insp Needed Qate insP,• ✓�� �� �
Time Insp Needed ;T "me Tnsp.
Inspected By 177
Work in Progress ly `"Oo ��1L7
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Input Date M
' APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
I
Location of proposed work s-e ' !� l i°I /� Lot #
Street No. Street Name
Premises owned by: �TIN5 C,Otst.C4--
Name of Firm: -!> y 04 Phone: �o�WOb
Address of Firm: 65-9 C /((ylC,*4 &d So,)
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S'b lZ 35`
Proposed Start Date 1,?W Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to 2 L)eS IJRW76o S the holder of Drain
layer's License No. Only holders of Pl, P7 & W9 licenses will be
issued a permit. Permit will expire thirty (30) days after date of issuance. The
undersigned Drain Layer hereby agrees to all the terms and conditions set forth
in the permit and attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No.
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Signed: Print Name 7PW 14,JJ2(,Qa�S
Li ns Drain Layer
Date:
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SUBDIVISION: -pi M i ►
NORTH ARROW
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CONTRACTOR (PRINT) NAM OF CONTRACTOR'S SUPE ISOR (PRINT)
10,N
STREET ADDRESSSIGNATURE
S• ��1�SQ GT� �--..� /_ .:� .s DATE
TOWN STATE ZIP INSPECTED BY TOWN —
TELEPHONE,NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER '/ DEVELOPER ?1