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HomeMy WebLinkAboutDrain Layers Permit 73 Cliffwood Drive ,. TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7106 Contractor JDC ENTERPRISES INC. Location 0073 CLIFFWOOD DRIVE Address 2640 BERLIN TNPKE Type Work NEW SAN LAT NEWINGTON CT 06111 Phone No. (860) I Date Insp Needed Date "Ihsp`. Time Insp Needed "TT 1't s 2--'c,0 Inspected By Work in Progress t { I I I I Input Date 112 .,IM) I Permit No. 7,106 Town of South Windsor, CT Pnrmi.t Date 01/06/2000 Drain Layer Permit Expiration Date 02/05/2000 Descr_ip: Applicant Location Name JDC ENTERPRISES INC. Add,i". ,0073 QLIFFWOOD DRIVE Addr, 2640 BERLIN TNPKE Owher-- BQNANNO RICHARD & PATRICIA M NEWINGTON CT 0,6V111 Phone No. (860 ) - S f -S The Drain Layer assn tbis pats is va,lJ>d 'License issued by the state and hereby agroes i;d; a7 1 " the .terms and *coati tons set forth in the attached 'Conditions' ~`A11';�wprk ,shsl �b ,,,in accordance with Town of South Windsor standards, al'1_ 6SkA_ r qu l r ht$` . and the` attached conditions. Issued By Date -Inspected / f410 =, rtapeoted F (i 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: 4 CL!,0;e 400 J) Lot # Street No. Street Name Premises owned by: 0 Name of Firm: phone: �� Address of Firm, !qD ,�E 'G�,�/ 7, ._ � ,r/G i7>�Gam"-a4✓fi TYPE OF WORK: Lay House Drain_; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with _.�'� �. -- --t duo ,r— 4?V/(11 .w6• Proposed Start Date -� Estimated time for completion ve�-b4,5ks 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 the holder of Drain Layer's License No. cv 72 0 r sz- 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. Sign Print Name: Licensed Drain Date: Standard Forms\Perin1ts\APPLICA7I0N FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: A� BUILDING ADDRESS STREET + SUBDIVISION: NORTH ARROW z 1 I1 ft 1 t , rt �✓` , V.o Xtr���..s�s CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) ' -24 STREET ADDRESS SIGNATURE _� —,��..•�'=;� ��► �,,,/„�•��✓ v%iz /n© DATE TOWN STATE ZIP INSPECTED BY TOWN DATE 'HONE NUMBER — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER