HomeMy WebLinkAboutDrain Layers Permit 19 City View Terrace TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6568 Contractor WILCOX CONSTRUCTION CO '
Location 19 CITYVIEW TERRACE
Address 535 OLD 5TAFFORD ROAD E
Type Work NEW SAN LAT TOLLAND CT 06084
Rhone' No. (860)871-1839 I
Date Insp Needed Z f3! Pae Insp; �
Time Insp Needed
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Work in Progress
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Input Date
Permit No. 6568 Town of South Windsor, CT
Permit Date 02/13/1997 Drain Layer Permit
Expiration Date 03/15/1997
Descrip:
Applicant Location
Name WILCOX CONSTRUCTION CO ` Aldr 19 tTYVIEW TERRACE
Addr.. 535 OLD STAFFORD RUAG3r ne� 8 &•* ENTERPRISE
r
TOLLAND CT ;,io604
Phone No. (860)871-1839 F :
P A L
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The Drain Layer ash i;gra�d the s #ierm t his a vi1-tense issued by the
state and hereby agrees the t end ig4s set forth in the
c Q t�
attached 'Conditions ' A ,l r40k sat k .b a�eQr arac with Town of South
Windsor standard a l l }81 ;=tetU 1 reL�#Qnt , attched conditions.
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Issued By
date Inspect d sp ctad' B
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: V Zri �` �/ - v� r.� -,,;Lot #
Street No. Street Name
Premises owned by:
Name of Firm: Phone: &—r--
Address of Firm:,„ S
TYPE OF WORK:
Lay House Drain d,� ; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Dates C//-
//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 o1r''-cy�f'e fl re W"!, the holder of Drain
layer's License No. &�2,J�L 9'�' . 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.
Signed: C Print Name,�i'f '� /z- �%��` ��5
Licensed Drain Layer
Date: Z/-Z/—/