HomeMy WebLinkAboutDrain Layers Permit 11 Collins Crossing TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6678 Contractor WILCOX CONSTRUCTION CO
Location 0011 COLLINS CROSSING Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phoni6�_No. (860 )871-1839
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Permit No. 6678 Town of South Windsor', CT
Permit pate 09/09/1997 Drain Layer Permit
Expiration Date 10/09/1997
Descrjp: UNIT 2 COLLINS XING
Applicant Location
Name WILCOX CONSTRUCTION CO Addr` . 0011 COLLINS CROSSING
Addr. 535 OLD STAFFORD ROAD pWiner B & M ENTERPRISES INC
TOLLAND CT 06,044
Phone No. (860)871-1839
The Drain Layer assigned' th�is permit has li valid, li"cense issued by the
state and hereby agrees to all ;the terms and conditians set forth in the
attached 'Condit—ions'. `A11 w rk shad-1 .�b€� in ac+yz�r ante with Town of South
Windsor standards, Nall OSHA";requirements', and the "attached conditions .
Issued By �'''_ .-#-- `: T tt ve - =--- ---- - —
Date Inspected T
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APPLICATION FOR DRAIN LAYERS PERMIT ?9z
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25 00
Location of proposed work: 1 A/- Lot # �-
o t
Street No. Street Name
Premises owned by.
Name of Firm Z4 ob,4 AXV Phone: / l ZZ
Address of Firm:
TYPE OF WORK:
jr �v
Lay House Drain Repair House Drain ;
Lay Main ; y Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date timated time for completion G �
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 to16�/r� �G the holder of Drain
layer's License No. 420 Only holders of Pl, & 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.
R
Signed: Print Name/�O,� /G,-z-- 4,V C-Fwe
Licensed Drain Layer
Date: