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HomeMy WebLinkAboutDrain Layers Permit 88 Cliffwood Drive TOWN OF SOUTH WINDCOR INSPECTION REPORT Permit. No. 6557 Contractor GERBER CONSTRUCTION CO Location 0088 CLIFFWOOD DRIVE Address 616 DART HILL ROAD I Type Wort: NEW SAN LAT VERNON CT 06066 Dro�� '-.T1G. (860 )875-6684 Date Insp Needed ---- i Time Insp Needed Time "'Zp \a � - - ------ --- - - — Inspected By Work in Progress L•�`�® 1 -st.�i.�!!�� ,,+fi�� -- I e - Inp Date I i Permit No. 6557 Town of South Windsor, CT Permit Date 01/21 / 1997 Drain Layer Permit Expiration Date 02/20/ 1997 Descrip; CONNECTION FEE PAID ALREADY App 1 i cant Location Name GERBER CONSTRUCTION C© �Addr.. `C108 ` CLIFFWOOD DRIVE Addr . 616 DART HILL ROAD own r i INVESTORS �©� VERNON CT 06066 Phone No. ( 860)8'15-6684 The Drain Layer assighed this permit has a valid license issued by the state and hereby agrees` to, all the terimsl,I and con,d'ition�s set forth in the attached 'Conditions ' . -A 11 shall be in accr`r�dance with Town of South Windsor standards, all OSHA ' r>equ i rements and {the .attached conditions. Issued BY _tr'rJC�Y._ ss��., _ _ .__ title .___ � _��tf�- � Il.e_ _________-_--- - - -. .., ,. .� , - - .lam - " Date Inspected _� _ __. _ _.._ ''Inspected Bye-12: ___ APPLICATION FOR DRAIN LAYERS PERMIT TOW.N,OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work: t Lot # Street No Street Name Premises owned by: ' '�. Name of Firm: I � � Phone: '' Address of Firm: TYPE OF WORK: Lay House Drain Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with 6 j�Proposed Start Date 1 L Estimated time for completion l Z 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 rrS�, �/ l,- the holder o Drain Q- f layers License No. /0i 20 i� -r --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. yam' Signed: `"' Print Name Licensed Drain Layer t' Date: