HomeMy WebLinkAboutDrain Layers Permit 9 City View Terrace TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6707 Contractor WILCOX CONSTRUCTION CO
Location 0009 CITYVIEW TERRACE Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phofte:";No. (860)871-1839
Date Insp Needed � ie �s�� Qat'e �ntp.
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Permit- No. 6707 Town of South Windsor, CT
Permit Date 10/09/`1997 Drain Layer Permit
Expiration Date 11/08/1997
)escrip:
Applicant Location
Jame WILCOX CONSTRUCTION CO ,
Ac}dr Qoag CITYVIEW TERRACE
kddr. 535 OLD STAFFORD ROAD f3/y�1'or" -HAWRY LAWRENCE C & ROSITA A
TOLLAND CT808�F1 ;
?hone No. (860)871-1839 � }
\ 3 R
The Drain Layer as 'rrt �
S fibs a=r xfi�ense i ssued by the
state and hereby agree the giors set forth in the
attached ConditionsA 1tsrkbv , w
acac � ith Town of South
Windsor standards, a1 1� ( iA� tau e n s, � anc _ t an ched conditions.
ssued By
ate Inspected �f` ��1�zgiete
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 C'h`y l/�w � �i-- Lot #
Street No. Street Name
Premises owned by: —
Name of Firm:�,�/l�cr�,r C��s�`-�� 1�� Phone: ��`-1���
Address of Firm: �S: s 4�2/c/ S' / d c/ 1fz
TYPE OF WORK.
<r
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
�r
Connection will be made with t/C`
Proposed Start Date Zo stimated 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 the holder of Drain
layer's License No. dL7,26 ��. 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.
c
Signed: c Print Name
Licensed Drain Layer
Date: C/