HomeMy WebLinkAboutDrain Layers Permit 03 Castlewood Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3/ 7925 golf r0, to-i JAC' .TJE5....CO'N:STRUCTION (JOHN)
Location OOO,S CASTLEWOOD DRIVE A4jd' eig Al 57 YRI0 E-90AD":<:;.
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Type Work NEW SAN LAT <<" wG7U ".y7. NISS _R CTg6074
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Permit No. 7925
Town of South Windsor, CT
Permit Date 06/03/2005 Drain Layer Permit
Expiration Date 07/03/2005 q?;:
Descrip: INSTALL HOUSE LATERAL
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Applicant
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Name J RU
ACQUES CONS T L),N."'
.<'OH
AS.TI,EWtXOD'DRIVE
Addr. 67 RIDGE ROAD z
3Y1 ¢CLARK."REAL1` INC
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state and hereby agit �*'T t .:.:..:: �,;;; y;<»:", >.::!<;.;.. ;:..., Y
?"<' k>.the terms and c`oh 3
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Conditions.. ''Allis"vzo1, 'sT ]3><',' 3' >' <<? 'O 'dazY.'". Fi.th 'wn of 1
Windsor standards, all OSHA requlrfas x � W South
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Date Inspected
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed ro /
p po wo •rk._ Lot #Ef
Street No. Street Name
Premises owned by: C C
Name of Firm:_ 4_�5d OIL Phone: a-O�'a;g
Address.of Firm:_ J57ff; 4�Oo_,
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
Existing Water Supply: Public Water Well
Proposed Start Date d3 Estimated time for completion -I PA
ALL WORK TO BE I AC ORDANCE WITH-TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND COND NS ATTACHED TO THE PERMIT
Permit is to be issued to sTf'1I\j c�sTy the holder of Drain
Layer's License No. o 3 r7 Only holders of P-1, P-7 or W-9 licenses
will be issued a_permit. PERMIT W LL EXPIRE THIRTY(30),DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the tenns
and conditions set forth in the permit and attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No.
Signed:
Licens D i yer
> Print Name:
Date:
standard Fo s\P mits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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