HomeMy WebLinkAboutDrain Layers Permit 6 Chapman Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6583 Contractor WILCOX EXCAVATING CONST CO
Location 6 CHAPMAN CIRCLE Address 71 WILLOW STREET
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. (860)644-8534
Date Insp Needed :. Dadensp
Time Insp Needed Ti'me' Insp.
Inspected By
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Work in Progress
Date
Permit No. 6583 Town of South i ndsor , (;T
Permit Date 03/25/ 1997 Drain Layer Pe'rmi t
Expiration Date 04/24/1997
Descr i p : PD REC . #47 26
Applicant L.ocat i on
Name WILCOX EXCAVA'i'ING [(.)NST ('0 A[J'dr. 6 CHAPMAN C:IR Li
Addr .. 71 WILLOW STREET Owner MANNAR I NO BUI L-DERS
SOUTH WINDSOR CT 066774
Phone No. ( €360 )644- 8534
The Drain Layer assigned �this perm , 448 a vall& �1"icense issued by the
state and hereby agrees to all the term- and co'n'ditions set forth in the
attached 'Conditions' . All w®rk shall be, in accordance with Town of South
Windsor standar s , all ' OSHA requirements, and .th4b attached conditions .
Issued By . _-- <° -- `'—__ _.-:w _ Ti tle ..``�_� -
Date Inspected Z 4 l Lnspected' By
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: 016 Lot #
Street No. Stfeet Name
Prernises;ouned
Name of Firm { Phone: J
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
�-
Proposed Start Date 3 ---'75 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 ' i �t("4a6 ( Of fe the holder of Drain
layer's License No. ?,7 ,1/6 . 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.
Signed: '� i
Print Name
Licensed Drain Laye
Date: