HomeMy WebLinkAboutDrain Layers Permit 68 Chase Farms Road i
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TOWN OF SOUTH WINDSOR !NSPECTION REPORT
Permit No. 6530 Contractor UNITED PLUMBING & HEATING
Location 68 CHASE FARMS FAD Address 29 BI;SSELL ST
Type Work NEW BAN 1.A1 E' , HAFT I FORD ("t +let i 0f:
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Gate nsp Needed _ ! ..-
Uate insp .
Time Insp Needed 1 me Insp ,
Inspected By _ }1 ' r� C �7
Work in Progress
input 0. t ,_ _ rate �-
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Permit No, 61530 Town o-r South Windsor, CT
Permit Gate 11/ 7/1996 Grain Laver Permit
Expiration Date l f2 %j1996
Descrip; PAID RECEIPT" #4693
Apr) l i cant Location
Name UNITED PLUMBING & HEATING Addr. 66 -CHASE FARMS Rid
Addr. 29 BISSELL ST Owner CHASE ASSOCIA ES 111C
E. HARTFORti CT 0610k#
Phone No. (860)289--951 I
The Drain Layer_ assigned -,this permit has a valid itense issued by the
state and hereby agrees tee all the terms ;and_conditions set north in the
attached 'Conditions ' .- All work sha I be i n accordance with Town cat South
Windsor standarls, all OSHA requirements and the attached conditions.
Issued BY _ _ i t Ie ms`
�1... -
Date Inspected __ __ - -- _ - _ _ l.nsperted 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: (o6' Lot # 1
Street No. Street Name
Premises owned by: e sc o `���e
Name of Firm: b N� Phone:
Address of Firm:
TYPE OF WORK.,
Lay House Drain l Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with pvc,
L
Proposed Start Date �-frEstimated time for completion .
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT j
Permit is to be issued to �- ltliz( .. t• f7j� L;� th1holder of Drain
layer's License No. 00 7-61 t Only holders of P1, 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.
r7 '
S"ed: ,, Print Name
Licensed Drain Layer
Date: �, Z.