HomeMy WebLinkAboutDrain Layers Permit 20 City View Terrace 1 TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6536 Contractor WILCOX CONSTRUCTION CO
Location 20 CITYVIEW TERRACE Address 535 OLD STAFFORD ROAD
Type Work NEW' SAN LAT TOLLAND CT O6084
Phone :No. (86u)87'1-.1839
Date Insp Needed _1� _ _�_ ___ gate Insp,
Time Insp Needed ---_-_.._��-�t -. .- T'�me Insp.
Inspected By ���--
Work in Progress '_' _ �- �'"- -- "- � - -off ......
Input Date
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Permit No. 6535 town of South Windsor, CT
Permit Date 12/ 1 1 ; 1996 Drain Layer Permit
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Exj:h ration Date O 1/10/1997
Descrip:
Applicant Location
Name WILCOX CONSTRUCTION CO Addr . 2O CI TYVIEW TERRACE
Addr. 535 OLD STAFFORD ROAD Owner F3 & M ENTERPRISES, INC {
TOLLAND ,T 06084
Phone No. (860)871-1839
The Drain Layer assigned `this permit has a valid license issued by the
state and hereby agrees to a 1 l the terms and conch ti ons set forth in the
attached 'Conditions' . Alll work shall be in accordance with Town of South
Windsor standard, all OSHA requirements; and the attached conditions.
Issued By - t- Title5 __ �1`�
�Y 1
. / Ate„ k ,� ��✓� _
Date InspectWd may®_., .cF-R _h.__ Inspected By _._.--.-----
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' APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL S� ,
1540 SULLIVAN AVENUE
SOUTH�IDS CT �
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Location of proposed woriqC�'-)K yz?*O/e� Lot #
Street No. Street Name
Premises owned by: -1-17
Name of Firm >i�C�`c/` ��/rt�s C Phone: i �
Address of Firm: S S ., S'l�;; VIe c/ mac✓ �� calf
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial-
Building of acres
�r
Connection will be made with
Proposed Start Dater m/p istimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
lK" l h C�U�' ,
Permit is to be issued to ��/�� /�` �'� the holder of Drain
layer's License No.Od O . 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.
Signec(-- - Print Name/;;;;1 r'.
Licensed Drain Layer
Date: l zz�