HomeMy WebLinkAboutDrain Layers Permit 75 Chase Farm Road TOWN OF SOUTH 41NDSOR INSPECTION REPORT
Permit No. 6564 Contractor UNITED PLUMBING & HEATING
Location 75 CHASE FARM RD �� T. g Address 29 BISSELL ST
Type Work NEW 'SAN L.AT E. HARTFORD CT 06i08
Phone No. (860)289-9511
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Permit No. 6654 down or South Windsor , CT
Permit Date 01/ 14/1997 Grain Layer Permit
Expiration` Date 02/13/1997
Descrip; CONN RCPT 4708, LOT 8 CHASE FARMS
Applicant Location
Name UNITED PLUMBING & HEATING , Addr. 75 CHASE FARM RD
Addr . 29 BISSELL ST 01°ner CHASE ASSOC.
E. HARTFORD CT- 06-168
Phone No. (860)289-9511
The Drain Layer assi`g6ed ,thAs permit has a' va1id license issued by the
state and hereby agrees to -a11 `the termsand conditions set forth in the
attached 'Conditions ' . rAl 1� work,:sha"l1 #3e in acc'01rdanae with Town of South
Windsor standards, all OSHA requirements, and the attached conditions.
Issued BYE Tithe
rpececv yDate Inspected
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: -7 5- �a< /�ar»2 � � Lot #
Street No. Street Name
Premises owned by: Nd S-e 5.s6(v- ' -es.
Name of Firm: i f v t+�X1ri ' Phone: - f',-J/'
Address of Firm: GT Q6/6)
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
f(
Connection will be made with
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 ur V 41 � /J nYd,� the holder of Drain
layer's License No. 00U /33L-/ Onl holders of(0, TV7 & 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.
Sign . Print Name t m y y ?lk
Licensed Drain Layer
Date: