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HomeMy WebLinkAboutDrain Layers Permit Repair sewer main n Permit No. 7955 Town of South Windsor, CT Permit Date 08/19/2005 Drain Layer Permit Expiration Date 09/18/2005 Descrip: REPAIR SEWER MAIN ON`CLANK€':S'r: Applicant L a.. b'� ..ton Name SPAZZARINI CONSTRUC: ZOfSdyir Addr. 50 POST OFFICE RI) O�arl r ENFIELD, Phone No. (860045-5083' Th e Drain La ed..Y �J 1,> qe:nse t: saued by the state and hereby e eb r Y 9 <.. a1 .;the"'t.erm's'"aria coriYit,j'olii`a; t;°;:;;for;th in the attached 'Conditions b 'xnoranee wst.li Town of South Windsor standards, all OSItA°te uire:in 6, tsi;;a„'_.; ! t.ke atta6 ed:;.G`oaditions. i Issued By -----�_ f ► ri Title Date Inspected -------------------- I ris'p'ti'C`C'ecT"By --__—_—__---- i. i TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7955 Contra'otor SPAZZP.TYTNS CONSTRUCTION Location �' lddres, 50 BQS�.OFFI'C$, RD Type Work RPR SAN LAT ,�t�IFSELD,` C'� Q606�., �Phoxle':No 18&c�t 745=5683 s Date Insp Needed ------------ Date --- _. I : ......... .> Time Insp Needed ———————————— P y Inspected B Work in Progress }�• insZ --- C(CG,S— 1n. _P© �e� b �I® _S �_�'��_e Input Bate APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: Lot # Street No. Street Name Premises owned by: Name of Firm: qS �►r � .��Phone: A60 Address.of Firm:30 � r�� ram. TYPE OF WORK: Lay House Drain Repair House Drain Lay Main-? ) ; Lay Lateral-for Commercial/Industrial Building of acres 157.4 -jt,9&5- Connection will be made witht�•� /.�,�� �. - ' •s Existing Water Supply: Public Water Well Proposed Start Date-AV 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 toig �- 2;�� �rs �j the holder of Drain Layer's License No. Only holders of P-1, P-7 or W-9 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. CBYD No.Q 'oa.�n,01-0 233 Signed �T print Name:� ii�F��. �Licensed Drain Layer Date:__ 'Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc