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HomeMy WebLinkAboutDrain Layers Permit 1 Chapman Circle TOWN OF S06TH WINDSOR INSPECTION REPORT Permit No. 6704 Contractor WILCOX , MICHAEL Location 0001 CHAPMAN CIRCLE Address EAGLE EARTHWORK SERV . Type Work NEW SAN LAT 101 N MOUNTAIN ROAD CANTON CT 06019 ��hUf P10, ( 860)693-2027 Date Insp Needed 'oTime Insp Insp Needed -- OLcs —_ me 1bs Inspected BY Work in Progress y' /® ��u. /��- ✓ . . ,, .- } .� .-- ,/ 15 ---- - Input �i,- ` et :. { _ Date _Vr!_ \_ A._1 o , ------------------------------------------- 1 1 Permit No. 6704 Town of South Windsor, CT Permit Date 10/02/ 1997 Drain Layer- Permit Expiration Date 11/01 / 1997 Descrip: LT 17 Applicant Location Name WILCOX, MICHAEL Addr. 0001 CHAPMAN CIRCLE Addr. EAGLE EARTHWORK SERV . Owner` MANNARINO BUILDERS INC 101 N MOUNTAIN ROAD CANTON CT 0' Of5 Phone No. (860 )693-2027 The Drain Layer assigned this permit, 'has a v°alid license issued by the state and hereby agrees tGi alV the terms and cond� tians set forth in the attached 'Conditions ' .- A11 work shal.l `b in accordance with Town of South Windsor standards , all 45HA 'requ'iremenfig and the attached conditions. of Issued B y T vt l a Date Inspected -_moo inspectep B� ' APPLICATION FOR DRAIN LAYERS PERMIT g TOWN OF SOUTH WINDSOR �� PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work: G cif/u'�C �l% Lot # /� Street No. Street Name Premises owned by: 1 l "?en,-�'�D o l� 6i i r /� Name of Firm: `2 i! ' .r Phone: % `5 Address of Firm: d E`�j� LdL ' l o l TYPE OF WORK. Lay House Drains _; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres n Connection will be made with f V(T. 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 cCk4e -�� the holder of Drain layer's License No. 1,9j1h . Only holders of PI, 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. Signed: Print Name s L,-�f Licensed Drain La er Date: l�