HomeMy WebLinkAboutDrain Layers Permit 5 Chapman Circle TOWN OF SQUTH' WINDSOR INSPECTION REPORT
Permit No.. 6705 Contractor WILCOX , MICHAEL
Location 0005 CHAPMAN CIRCLE Address EAGLE EARTHWORM SERV .
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON C7 06019
Phorte No. ( 86( )693-2027
Date Insp Needed " InspTime Insp Needed Tiame Insp _-- --- --
.Inspected By
Work in Progress
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Permit No. 6705 Town of South Windsor , CT
Permit Date 10/02/1997 Drain Layer Permit
Expiration Date 11 /01/ 1997
Descrip : LOT 19
Applicant Location
Name WILCOX , MICHAEL Addr. 0005 CHAPMAN CIRCLE
Addr . EAGLE EARTHWORK, SERV . Owner' MANNARINO BUILDERS INC
101 N MOUNTAIN ROAD
CANTON CT 06019
Phone No. (860 )693-2027
The Drain Layer assigned this permit 'has a Va'1td license issued by the
state and hereby agrees td -all the Terms and condi,t ins set forth in the
attached 'Conditions ' , Ali: work shall "be, in accoedance' with Town of South
Windsor standards , all 'OSHA requirement_i; and th attached conditions .
_ a
Issued B t
Date Inspected Trispected 8Y
f
APPLICATION FOR DRAIN LAYERS PERMIT $
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work Lot #
Street No. Street Name
Premises owned by: llc-,W 1 ah:pio L", 1Vf 5-
1
Name of Firm: 4 r. r Phone: 6'3 Z`)e
Address of Fir / �` �idi� l /m:
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with c�f�
Conne V
Proposed Start Date/0 z Estimated time for completion G �
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
ei' f' ? �J" (/fir��u, the holder of Drain
layer's License No. 27911% Only holders of Pl, P7 8a W9 licenses will be
issued a permit. Permit will expire thirty (301 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: Print Name !"ice' 4�� C
Licensed Drain Layer
Date: U(2 j