HomeMy WebLinkAboutDrain Layers Permit 092 Cardinal Way 1 �
TOWN OF SOUTH WINDSOR INSPECTION REPORT
ermit No. 6877 Contractor JMJ CONSTRUCTION CO.
Location 0092 CARDINAL WAY G�df Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone" N (860)528-7889
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Date Insp Needed
Time Insp Needed _ F fim� LBO
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Inspected By
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Work in Progress -
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Input Date y/a3��sr
lee it No. 6877 Town of South Windsor, CT
$ermit Date 09/18/1998 Drain Layer Permit
:xpirat -on� Date 10/18/1998
)escrip-r. CK8415 48. 75 AND CK8413 775 .00
Applicant Location
dame JMJ CONSTRUCTION CO. Addr :_;O0g.2 CARDINAL WAY
kddr. _658 ELLINGTON ROAD er CLAk REALTY INC
SOUTH WINDSOR CT D6014
)hone No. (860)528-7889
The Drain Layer as.§f ied, th�;s permit has a' val y4d license issued by the
state and hereby agrees tp al.l. thb term` $nd 6or d' n3s set forth in the
attached 'Conditions' ; Al ! �o,rk shr�l'I, be fin a6i,6r,,,4ahc4 with Town of South
Windsor standards, all,. `OSHA rqu. reetltax{:afi tie' atched conditions.
[ssued By —
)ate Inspected r ` ZLl U nspgot ' DY
APPLICATION FOR DRAIN LAYERS PERMIT l"
TOWN OF SOUTH UfMDSOR #'
PUBLIC WORKS DEPARTMENT'
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT /
?� FEE$25.00
Location of proposed work
Z1444& Lot #
Street No. Street Name
Premises owned by
Name of Firm: Phone:
z
Address of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with D )A
Proposed Start Date 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
� - �' � ./ a ,rthe holder of Drain
layer's License No. Only-hol ers of P1, P7 & W9 Iicenses 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.
Signed: °` G Print Name JP"qk)&-3
Licens Dr Layer
Date: