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HomeMy WebLinkAboutDrain Layers Permit Collins Crossing and i ' TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6648 Contractor WILCOX CONSTRUCTION CO Location COLLINS CROSSING AND NEVERS RDAddress 535 OLD STAFFORD ROAD Type Work SAN MAIN TOLLANU CT 06084 thane' No,. (860)87 1 -1839 Date Insp Neededf - - Time Insp Needed _ mnsp — Inspected By Work; in Progress input''_�.—_ Date Permit No. 6648' Town of South Windsor , CT Permit ,Date` 07/17/1997 Drain Layer Permit Expiration Date 08/16/1997 Descrip: MAIN LINE IN COLLINS CROSSING FROM NEVERS UNDER BROOK Applicant Location Name WILCOX CONSTRUCTION CO, ,' ,, : -Ad&—,,'COCt:INS CROSSING AND NEVERS RD Addr. 535 OLD STAFFORD ROAD ?ivtlr ��t+ 5t,TERPRISES TOLLAND CT .46054 . Phone No. (860 )871-1839 dJr The Drain Layer assigntd . thi-s .perms has A galid. 1i`cense issued by the state and hereby agrees to, all the ter,m,s end cohdit one set forth in the attached 'Conditions' . All, rork sha1;1 :�be" it�, aecp anc�e� with Town of South Windsor sta dams, all QSHA requirements, and the 4ttached conditions. Issued By �- --- Date Inspect /•�� � Thsp©cted By APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT . TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT ��EE$900 Location of proposed work: # Street No. Street Name Premises owned by: �r tS'f r Name of Fir m:�,C�/'•��d C �cast"�d / c�/ Phone: ;/O Address of Firm:s � TYPE OF WORK: Lay House Drain Repair House Drain Lay Main day Lateral for CommerciaVIndustrial Building of acres Connection will be made with p ell Proposed Start Date �Ztimated time for completion Q�r r-7— 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�6��r2 OiV/ k7� the holder of Drain layer's License No. �0 3 '�• Only holders of P1,�" 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. or ConnDOT Permit No. Signed: Print Name Licensed Drain Layer Date: ZZL