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HomeMy WebLinkAboutDrain Layers Permit 72 Commerce Way TOWN OF SOUTH WINDSOR INSPECTION REPORT Permii No.- 7320 Contractor DEBRIKO/BRIAN KOCHER D/B/A Location Address 50 ELM STREET Type Work NEW SAN LAT VERNON CT 06066 Phone. No. (860)870-9746 YOV a Date Insp Needed ®�; O �1 fate , Time Insp Needed r `j � Inspected By Work in Progress sS &rlJo w /r�-.a L �.v,r)oa-�r'�o•�. .:3 ,U a ;1�, ST�.,,�� d� S�r� .9 Pero, , Input � f�-- Date Permit No. 7320 Permit4Date 07/27/2001 Town of South Windsor, CT Expirdtig Date 08/26/2001 Drain Layer Permit Descrl4i:; RANCO Applicant Location ` Name DEBRIKO%BRIAN KOCHER D/B./A Addr. 50 ELM STREET Adclr• .0Q72 COMMERCE WAY Owner T;RAVCO LLC VERNON CT D © � Phone No. (860)870-9746 3 The Drain; Layer as" "Ole th,i pe .fit' �i�s � y�lid j �cense issued by the state and hereby agree =to ` i l the ��terra ,end �cor diti or s set forth in the attached 'Conditions' ' . A1 � wok sha11 Windsor standards, a1 aSyq r qunent "and cthQ �ttachedWithcondnt�onsQuh Issued By _� T ................ �—�- 7�.1G Date Inspected 4 O p I►� ected" �y TOWN OF SOUTH WINDSOR 'SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 08436 BUILDING ADDRESS P 7 7- STREET : Conte e-A ex WAY -I-- SUBDIVISION: NORTH ARROW 1 6 _ 4 i i , i 1 , CONTRACTOR (PRINT) NAME- 0 TRACTOR'S SUP- VI R (P STREET ADDRESS IGNAtRE � !itrk tea' r-r OL �'J3/�/' DATE TOWN STATE ZIP INSPECTED BY TOWN DATE 7�' 2�SB J \ TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER APPLICATION FOR DRAIN LAYER PERMIT 73 z a = 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: Z a2"9,./c o G� Name of Firm: &19�fit c a ' Phone: Address of Firm: / 3 ��� a��� �C �'"Is�►. c��� s�� �� TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with S Existing Water Supply: Public Water Well Proposed Start Date Estimated time for completion ALL WORK TQ: E IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA RE IREMENTS AND CONDITIONS ATTACHED TO THE PERMIT f � � /f Permit is to be issued to re IfT�a the holder of Drain Layer's License No. 441 Only holders of P1 or P7 licenses will be issued a permit..,- ERMIT WILLEXPIRE THIRTY (30) DAYS AFTER DATE OF ISSUANCE. :ndersigned 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 No. ZOO/ 1040 3 ( 3 7 Af Si9 ned: Print 'Name: �"�� l . Licensed in Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc