HomeMy WebLinkAboutDrain Layers Permit 335 Clark Street (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7013 Contractor TRI-STATE EXCAVATORS INC.
Location 0335 CLARK STREET Address 97C SYCAMORE LANE
Type Work NEW SAN LAT MANCHESTER CT 06040
Phone ,No. (860)647-9224
Date Insp Needed 7!G 1 S9 fete' Insp _
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Time Insp Needed
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Inspected By ho.?' 4�44 I'
Work in Progress
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Pv�rmi'&. No. 7013 Town of South Windsor, CT
Permit 'Date 06/22/1999 Drain Layer Permit
Expiration Date 07/22/1999
Descrip:
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Applicant Location
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Name-
TRI-STATE EXCAVATORS I t;y _
Adir 45 CLA_RK STREET
Addr. 97C SYCAMORE LANE x VAENCE JOHN J . JR. l
MANCHESTER CT0
Phone No. (860)647-9224 JI._ ..
The Drain. Layer asr ( this€ , ,has d 1 cense issued by the
state and he reb
y a r t '
r g p t� �� nd i s set forth in the
attached•! Cond i t i ons ,e n a with Town of South
Windsor standards, al Q$ " ! ��# {Tched conditions.
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Issued By z _ �
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Date Inspected 7
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7013
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: 3 3 5 CGS 2i� 5r 2 eeT- Lot #_
Street No. Street Name
Premises owned by: JCW A-) L4W 09-fJC,9
Name of Firm: hone: Z
Address of Firm:
TYPE OF WORK:
Lay House Drain V- ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection wil'I be made with
Proposed Start Date 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 cOr the holder of Drain
Layer's License No. go 9 .S3� 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: rint Name:A �i��f/f1Y1 Jf� /755'S
Licensed Drain Layer
Date:
Standard forms\Permits\APPLICATION FOR DRAIN LAYERS PERMir.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 171q
BUILDING ADDRESS L�'T
STREET : G L�21� S
SUBDIVISION: Lo &q 67
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVI (PRINT)
A, Wrc.UAM V-2a US S
STREET ADDRESS SIGNAT
�A A c Ci4 e,g eg- CT DATE
TOWN STATE ZIP IN PECTED TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER