HomeMy WebLinkAboutDrain Layers Permit 17 Day Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8027 Contxa>e£or COVFIT''`"C(>N:$TRUCTION CO.
Location Address .'P.O BO.3. 427
Type Work NEW SAN LAT
C?UENTI2Y q.62�:_a
PhoneIo (6 .f3).282 0526
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Permit No. 8027 Town of South Windsor, CT
Permit Date 03/02/2006 Drain Layer Permit
Expiration Date 04/01/2006
Descrip: INSTALL SANIT. SEW. :DATERA$, � '
Applicant
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Name COVEN CONSTRUCTION CO ddx OA]7 pAY DRty.
Addr. P.O. BOX 427 Okrn r HORSESHOE: IA.Ni ASSOCIATES LLC
COVENTRY CT OF23$
Phone No. (860)282-0526....
The Drain Layer assi.gried t1ls ? G his Wzd leene;<:assued by the
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9f.. � .. a;�_. e �E'�rrtrs'"�Td c'o"ri�c�' t
sta
te and here
by a .ar�.ri�s<'?set«..::forth in the
attached 'Conditions' All work sT]a1 '<`., `.:.'ip t dame'' uJ tki Town of South
Windsor standards, all OSHA equiretn ntS, nxi kie atta he CQ itions.
Issued By
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Date Inspected --------------------- Iri"spcfi'e'cl >By ---------------------------
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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: Kl 2 Lot # J
Street No. St et Name
Premises owned by:
Name of Firm: S ti Phone: o�
Address.of Firm: �300( a v
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main
y Later-al-for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water /
Well
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN A CO ANCE WITH'TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to Cl 1. oet C J e�f
Layer's License No. ,� Ga b the holder of Drain
. Only holde 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 No. —
jl
Signed: Print Name:
Li ns Dr in Layer f 1
Date:
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