HomeMy WebLinkAboutDrain Layers Permit 91 Deerfield Lane Permit No. 6785 Town of South Windsor; CT
Permit Date 04/13/1998 Drain Laver Permit
Expiration Date 05/13/1998
Descrip :
Applicant Location
Name LATULIPE BROS. INC. "Ad'dr. 0091 DEERFIELD LANE
Addr. 780 VERNON STREET E wtr'et' 'SMUH. OBERT L & JANET U
MANCHESTER CT " 06040
Phone No. ( 860 )646--5114
The Drain Layer, assigned this- permit , has a valid 1ic:ense issued by the
state and hereby agrees try eia the ter' .and cohd,i:"titans set forth in the
attached 'Conditions ' A l°1 '`wd`rlk shal:1 be, In accordance with Town of South
Windsor standards , all OSHA rgouiroments, and th,e attached conditions .
Issued a y 7 _'- _ T t 1 e __ -
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Date Inspected) Inspected By - - --"-- ---- - -
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6785 Contractor LATULIPE BROS, INC.
Location 0091 DEERFTELD LANE Address 780 VERNON STREET
Type Work NEW SAN LAT MANCHESTER OT 06040
Phone`° No. (860 )646-5114
Date Insp Needed _ -_ �_` ' 0 _� t Datg ins ;--,
Time Insp Needed _- _-- _ w._-- T "rye Insp.�
Inspected By
Work in Progresso
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed u:ork: W d /,L0-- Lot #
Street No. Street Name
Premises owned by:
{ Name of Firm: ZATUL iPf',6 >4/�-- Phone: C V6 S-1
Address of Firm: 7 C-o Vflf wgAI S�l yY 4AIC H 6-,:g7'-i~
TYPE OF WORK.,
Lay House Drain ; Repair House Drain
Lay Main Lay Lateral for CommerciaVIndustrial
Building of acres -
Connection will be made with 16
Proposed Start Date �� estimated time or completion 0A/C OJCF- 1
P f P t
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 A/0/?M,4tkJ 4„,9 TlJe-ppp(° - the holder of Drain
layer's License No. 002�06'15E . Only holders of P1, P7 & W9 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.
Signed: sue-- w Print Name
Licensed Drain Laiir R �
Date: /4 qe
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: /d��� �4
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
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70
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVIS R (PRINT)
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STREET ADDRESS
p SIGNATURE
DATE
TOWN STATE ZIP INSP ED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER