HomeMy WebLinkAboutDrain Layers Permit 189 Deming Street TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7374 Contractor J . H. LYNCH & SONS
Location CHURCH RECTORY Address 50 LYNCH PLACE
Type Work DIS SAN LAT CUMBERLAND, R. I .
02864
Phone No. (860)296-9007
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PeGmJo. 7374 Town of South Windsor, CT
Permi __Date 01/17/2002 Drain Layer Permit
Expiration Date 02/16/2002
Descrip; DISCONNECT SAN LATr=Rat
Applicant Location
Name J . H . LYNCH & SONS Addy C1HQRCH RECTOR
Addr . 50 LYNCH PLACE ner ` <
CUMBERLAND, R. I .
02864
Phone No. (860)296-•9007
The Drain Layer as i.gn d.. this perm t, has 6 Val;Act ii;cense issued by the
state and hereby agreo tt� 1 'the t rMs ,snd coi 1tians set forth in the
attached 'Conditions ' ". A 11 .work shah-I bo t n acccir cfanGe with Town of South
Windsor standards, all. 05H�. r�qu�retr+ehts, .and the attached conditions.
Issued By
Date Inspected % G '' ,znspect�d .By
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APPLICATION.FOR DRAIN LAYER PERMIT
`7 IOWN OF SOUTH WINDSOR
PU f C WORKS DEPARTMENT
TOWN HALL
•1540 SULLIVAN AVENUE 7
SOUTH WINDSOR, CT
• FEE $25.00 737y
Location of proposed work: 8�l e A, ►`A
f- Lot
Street No. Street N me
Premises owned by: GA��Ay �(ASA ir�C
Name of Firm: J tf t_�,nc�, So„s Phone: C
Address of Firm: 9 c r , f 11-r Gp C T
TYPE OF WORK: D"Sc.on Ad*C-
Lay House Drain ; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with /Vo n I
Existing Water Supply: Public Water Well
Proposed Start Date 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 Pak-r- S M•t� the holder of Drain
Layer's License No. 19 o 5-1 5' . Only holders of P1 or P7 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. _ ��Q 1 5 O q ,
Signed:,9 Print.Name: C�cr S�.►�"�►•
Licensed Drain Layer
Date: 1~ 1 ?' 9 Z
Standard Forms}Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc .