HomeMy WebLinkAboutDrain Layers Permit 68 Deerfield Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8072_ ":
Cont,ra' or JAMES 2iRQWE
Location Acfdrea VANS -SEYfER &':: .EPTIC
Type Work
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Permit No. 8072 Town of South Windsor, CT
Permit Date 07/18/2006 Drain Layer Permit
Expiration Date 08/17/2006
Descrip:
3
Applicant
Locution
Name JAMES THROWE
FcI 0068:I?EERFTEIT7 LANE
Addr. VANS SEWER & SEPT3C r7 MERE HAROLI3..,p UDITH G
97 RIVERSIDE DRI,UE
VERNON CT;.06066 '
Phone No. (860)289-00'*
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The Drain Layer ass3%gd _this permk lyds a vAlid license issued by the
state and hereby agrees' tq dl� Chi tftf - rY4xrsi32tians set forth in the
attached 'Conditions' A11 :6. shah be in ace0rdap e yf7 h. Town of South
Windsor
.. .;.<:;
or standards, al b:::flSH1i`xequi< h hed 'curia tions.
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Issued By -----------------
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Date Inspected
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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: (_-21:�Z_ a L,c\
Street No. Lot # .
Street Name
Premises owned by: cr�
Name of Finn: ,,,,,�� tr
Se r✓. �„ :Phone:
Address-of Arm: ! ,
TYPE OF WORK:
Lay House Drain �,, Repair House Drain
Lay Main • Lay Lateral-for Commerdal/Industrial
Building of acres
Connection will be made with S�� .
Existing Water Supply: Public Water Well
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Proposed Start Date OzEstimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARD
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT S,
Permit-is to be issued to -5 w�
the holder of Grain
Layer's License No.
will be issued.a Only holders of P-1, P-7 or W-9 licenses
permit. PERMIT WILL EXPIRE THIRTY(30)1DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terns
-and conditions set forth in the permit and attached thereto.
Town Street Excavation Permit No. Applicant has received
and/or ConnDOT Permit No.
CBYD No. � /
.Signed:
Print Name:
Licensed Drain Layer
Dater
Standard Forms\Permits\APPLIOpTION FOR DRAIN LAYERS PERMIT.doc
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204,487,69
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• TOWN OF SOUTH ANDSOR
SANITARY- SEWER LATERAL FIELD LOCATION
DATE. OF CONSTRUCTION: i co
BUILDING ADDRESS
STREET .
-I- SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACT R'S SUPERVISOR (PRINT),
STREET ADDRESS SIG It RE
u/kr►^o� C �� p�tor I C6 DATE
TOWN STATE ZIP INSP ED BY TOWN
DATE
TELEPHONE NUMBER
WHITE TOWN PINK'— CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER
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