HomeMy WebLinkAboutDrain Layers Permit 443 Deming Street i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7588 Contractor JACQUES CONSTRUCTION (JOHN)
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Location Address 67 RIDGE ROAD
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T SOUTH WINDSOR CT 06074
Type Work NEW SAN LAT
ne No. (860)432-1823
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Work in Progress
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Pfhzf "il� No. 7588 Town of South Windsor, CT ,
Perm-it Date 10/08/2002 Drain Layer Permit t .
Expiration Date 11/07/2002 + y
Desceip: CK 12031 $157 . 50 CK 12030 $910.00
Applicant Location
Name JACQUES CONSTRUCTION JAVW k&4 43 DEMING STREET
Addr . 67 RIDGE ROAD X C K REALTY INC
SOUTH WINDSOR C
Phone No. (860)432-182
00
The Drain Layer s i has icense issued by the
state and hereby ag 1 an i ns set forth in the
attached 'Condition in a with Town of South
Windsor standards, a e ear ached conditions.
Issued By
Date Inspected 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: 3 I✓I/1, Lot #
ZT7
Street No. Street Name
Premises owned by: S
Name of Firm: Phone: 9
Address of Firm:—(; 5—0 !��, k-7 sl
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 3 S
Existing Water Supply: Public Water Well
Proposed Start Date 5 P X Estimated time for completion
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 the holder of Drain
Layer's License No. o% 0 my holders of P1 or P7 Licenses will be
issued a permit. PERMIT WELL 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.
Signed: Print Name: Jo)A -�
1A_ 4Cy�S
Lic d Dr in ayer
� Date: d
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATE RAL -FI ELD 10CATION
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'TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELkPER