HomeMy WebLinkAboutDrain Layers Permit 111 Cliffwood Drive r
TOWN OF SOUTH WINDSOR INSPECTION REPORT
93
Permit No. --6:5-24 Contractor GERBER CONSTRUCTION CO
Location 0111 CLIFFWOOD DRIVE Address, 616 CART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
P;h9"ne No. (860 }875 6684
Date I nsp Needed
Time Insp Needed T::,Me JInsp,.� "
Inspected By
Work in Progress
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Rermit No. 6" Town of South Windsor, CT
Permit Date 04/23/1997 Drain Layer Permit
Expiration Oate 05l23J1597
Descrip:
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App 1 i cant Lr.7c,a t i can
Name GE RBER CONSTRUC;1 ION CQ Adclr , 0,11 1 CLIPFW000 DRIVE
Addr . 616 CART HILL ROAD `�, Ovir�er tJ Et �GON�iTRUGTION COMPANY ING
VERNON CT' 06066 �
Phone No. (860 )875-66b4
The Drain Layer assigned this permit has a 'va l i d- license issued by the
state and hereby agrees to a I I the terms and cgnd i,ti any set', forth in the
attached 'Conditions ' . All wort,. shall be in accordance with Town of South
Windsor standards , all OSHA requirements,, and: the attached conditions .
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Issued By t 16
/Z' >7 Inspected By ��, - .._ _- ---- -- --
Date Inspected .___�I�,_y�._.__ __ _ � ��' -�
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:
Lot #
Street No. Street Name
Premises owned by:
Name of Firm: �,, I
L a Phone: c;'.-�c��`J
l Address of Firm: (& )�,-i
TYPE OF WORK. j
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date ` 'V Estima.ted time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WIIVDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS .ATTACHED TO
THE PERMIT
Permit is to be issued to 4-7 t�a
. the holder of Drain
layer's License Vo d O o� y f 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.
Signed: - .��� Print Name -��-----
Licensed Drain Layer
E�
Date: " .