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HomeMy WebLinkAboutDrain Layers Permit 130 Commerce Way h M' TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7074 Contractor G&R VALLEY, INC . Location 130 COMMERCE WAY Address 350 CHAPEL ROAD Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 Phone No. (860)289-6896 Date Insp Needed © « �1 Date,=Tnsp. a l �Q Time Ins Needed p g< , F �me Irlsi` Inspected By Work in Progress �� Input Date Johilf2 I I Pef to No. 7074 Town of South Windsor, CT `* Drain Layer Permit Permit` Date 10/15/1999 Expiration Date 11/14/1999 Descrip: Applicant Location .Name G&R VALLEY, INC. Addr. t30 COMMERCE WAY Addr. 350 CHAPEL ROAD Qwner SECA SOUTH WINDSOR CT Phone No. (860)289-6896 :' ` 4 The Drain Layer assigrt�< tl�ts part has �e1id license issued by the state and hereby agreiets to _a11 tt a te}#�1m i I- n, Itlo s set forth in the attached 'Conditions"". A Y �: tr.k_ sh Ise `►n a ins with Town of South Windsor standards, al1``OSHA egUt ilen,t3 and ? attached conditions. ,QG►N kG Issued By .�,-- - --�- er_PA `y~ Date Inspected �nsp 1 _ ;_;�4 r 7a7y APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: , 30 L0 X4,IiVe/e C€ c,(-,9`LLot # Street No. Street Name Premises owned by: S t5e-14 L Name of Firm: (!1> 4- iR v y I-A 0 v i Phone: &9',6�� Address of Firm: TYPE OF WORK: Lay House Drain t/ ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of - acres Connection will be made with Folic'g 4E Srl D u,c 0 2/0 p U c- Proposed Start Date ® !YAP Estimated time for completion w V- � 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 F.A. 20v R.G`o e- the holder of Drain Layer's License No. P-1i7<s Only holders of P1, P7 & W9 licenses will be issued a permit. Permit will expire thirty (30) doys 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: l2�rp/r License D in Layer Date: iT�Z19 9' Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS STREET SUBDIVISION: NORTH ARROW 6, " S44. LAT. Ltl-1 -!W.14 CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIGNATU Sa ili / / -30A /2 ( � � O� 02ee /o %9/9 9DATE TOWN S ATE ZIP IN§P'ECTEb jKTOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER