HomeMy WebLinkAboutDrain Layers Permit 12 Commerce Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7951 w•:,:::..::::.....
Cor�:t:vs for CENT T'ATee. ONNECTICUT EXCAVATION
Location 0012 COMMERCE WAY "5 `^
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Type Work NEW SAN LAT
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Permit No. 7951 Town of South Windsor, CT
Permit Date 07/27/2005 "°'""'�""'"'`"'>r<,..,.. Drain Layer Permit
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Expiration Date 08/26/2005
Descrip:
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Applicant
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Name i::ik :'.:r,. : .,.. .:
CENTRAL CONNECTI UT XCAVATI£7 T .w y � AD Z COMM�R�� WAy i
Addr. 1131-0 #206 TOIF AND"T.PT{ u*ier MASSCf N;..DI:STRIBUTORS CPL INC
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ne No. 860250_
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The Drain Layer*` as s�:•5�. .;.{. >::.;>"+::k'•";»
; e"rises a;>,:&.s sued by the
state hereby a4:r e- th
forth in the
attached 'Conditions' 1 .<''vir3IC`'` i `':' '" „" ,:
rcate'>svi.th �t5wn of South
Windsor standards, all O$:HYo-r .qu`i' ;e{ltiij .,: -ii3c'...;Ye at' hd..:c `hdition
s.
Issued B
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Date Inspected --------------------- ��re�C'�c'i°'By
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: 2- W Lot # 12
Street No. Street ame
Premises owned by: Rrvopj k-ST
Name of Firm:_ .Phone: 2
Address of Firm: t t 3 ( —D 526(o Tio�( y�
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main '
% Lay Lateral-for Commercial/Industrial
Building of I acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date 5 ZS Estimated_time for completion
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 156pq
Layer's License No. _ 211 b (oS the holder of Drain
. Only holders of P-1, P-7 or W-9 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.
CBYD NoZ. censedDrain
Signed: Print Name:
Layer
Date: IR D S
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIr.doc
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