HomeMy WebLinkAboutDrain Layers Permit 173 Deming Street - TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 73 Contractor J . H . LYNCH & SONS
Location ' Address 50 LYNCH PLACE
Type Work DI A`N LAT CUMBERLAND R. I
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02864
Phone No. (860)296-9007
Date Insp Needed B
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Time Insp Needed
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Inspected By
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Input � i Date '"3 b' d a
7375 Town of South Windsor , CT
Dermit 'Date 01/17/2002 Drain Layer Permit
xpiration Date 02,/16/2002
)escrip: SAN LATERAL DISCONNECT
Applicant Location
Vame J . H. LYNCH & SONS Addy• , 1.�3 pM' 5' �
Oddr. 50 LYNCH PLACE Owner (�1sT£sJnvJ (JIi, A,LLC
CUMBERLAND, R. I . 11
02864
Phone No. (860 )296-9007 '
The Drain Layer assl:gned ,this perm7' has a vale-d 1icense issued by the
state and hereby agree tQ ,A T,--tht e : nd ' auditions set forth in the
attached 'Conditions' AliW6rk shal1. be- i.n acz+cordanpe with Town of South
Windsor standards, all, :USFA. re�u � �^eer�is. :andtYie :attached conditions.
Issued By /� t t. ' Nc,1r� klL -11-c S T
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Date Inspected Z Inspected _ "
APPLICATION FOR DRAIN LAYER PERMIT 7 3 7�
TOWN OF SOUTH WINDSOR ZI
PUBLIC WORKS DEPARTMENT 3 7 6-0
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: l-7 3 e M1. �'A f- Lot #
Street No. Street N me
Premises owned by: CLL
Name of Firm: J, tf Lu A L, So's Phone: C o
Address of Firm: 9 �' �lg c r 5 i•: t4t7"r r� C 7
TYPE OF WORK: D„'SGonneG'�-
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with N� c
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 r S M•F the holder of Drain
Layer's License No. 1 R o S 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. �'o Q I f O g 7 �.
Signed: Print Name: c
Licensed Drain Layer
Date: 1 17' 9 z
Standard Forms\PermitsWPPLIG4TION FOR DRAIN LAYERS PERMIT.doc .