HomeMy WebLinkAboutDrain Layers Permit 24 City View Terrace I.OWN OF SOUTH lrJI NDSOt� I.N it�EC:T ION REr GRl'
Permit No. 6548 Contractor WILCOX CONSTRUCTION CO j
Location 24 CITYVIEW TERRACE Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOL.LAND OT 06084
Phone No. ( 86o)8 7 1--1839
1
Rate Insp Needed Date Insp.;___
Time Insp Needed / Time Insp, f
Inspected By
Work in Progress
Date
Inpu
_..
Permit No. 6548 [own of South Windsor , (:l"
Drain Layer Permit
Permit Date 01 /03/1997
Expiration Date 02/02/1997
Rescrip: CONN FEE PAID 12-30-96 04702
Applicant Location
14-
Name WILCOX CONSTRUCTION CO Addr. 24 CITYVIEW TERRACE.
Addr. 535 OLD STAFFORD ROAD
Owner' B & M ENTERPRISES INC .
TOLLAND CT '06U84
Phone No. (860)871--1839
The Drain Layer assigned this permit has a valid license issued by the
state and hereby agrees to all the terms and conditions set, for
in the
attached ' Conditions' .= A11- work shall be in accordance with Town of South
Windsor standard ail OSHA requirements, and the attached conditions .
Title
Issued By a
Date Inrpe d/ o � 7
_._. ---_- r.nspected By
t
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 Lot #
Street No. Street Name
Premises owned by: 5' etc'
Name of Firm: le 'Phone: "�f/
Address of Firm` � o� /L�e✓ � c'!a `' y
TYPE OF WORK.
Lay House Drain_ Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with
Proposed Start Date/
lstimated 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 fo A�1 Ir,& d `�° �C the holder of Drain
layer's License No.00,2d �,3. 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.
Signed: Print Name 4/ - 0
OF
Licensed Drain Layer
Date: / / 9P �'