HomeMy WebLinkAboutDrain Layers Permit 89 Cliffwood Drive +I+
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6491 Contractor GERBER CONSTRUCTION CO
Location 0089 CLIFFWOOD DRIVE Address 616 DART HILT_ ROAD
Type Work NEW SAN LAT VERNON CT 06066
Phone "No. (860)875-6684 1
Date Insp NeededIn$p: ./��/_ �gc
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Time Insp Needed Timens
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Permit. No. a4a1 Town of South Windsor, CT
Permit Datq 10/11/ 1996 Drain Layer, Permit
Expiration 'Date 11/10/ 1996
Descrip:
Applicant Location
Name GERBER CONSTRUCTION ui gcldr 0089 CLIFFWOOD DRIVE
Addr . 616 DART HILL ROAD Eaner L IN15TORS
VERNON CT "060fi6"
Phone No. (860 )875--6684
s
The -Drain Layer assigned t:h,i s ' pe rm'►t has a 7 tcense issued by the
state and hereby agre4s:" to "4 ist the terms" and cb'h'd ,t`ia'r s setforth in the
attached 'Conditions ' A 1 1" tir1C shal"I � be;. .i n acioo'rdande with Town of South
Windsor standards , al l OSHA F redui rements, and t44 att'ached conditions.
Issued By Tit 1 e
Date Inspected lo�—y�� Inspected By _ —
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 � /j+ �,r p/ y Lot #
Street No. Street Name
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1 r—
Premises owned by: t� � .�
Name of Firm: Phone: 5=-�
Address of Firm: oe-
TYPE OF WORK. r
Lay House Drain Repair House Drain
Lay Main ; Lay Lateral for Commerciai/Industrial
Building of acres
�s
Connection will be made with -�
Proposed Start Date Estimated time for completion A-.�
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. ^-Ze, �'"? 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: Print Name :7 " -
Licensed Drain Layer
Date: &11-. 'N