HomeMy WebLinkAboutDrain Layers Permit 615 Deming Street TOWN OF SOUTH WINDSOR INSP€CTION REPORT
Permit No. 7136 Contractor COVEN CONSTRUCTION CO.
Location 0615 DEMING STREET Address P.O. BOX 427
Type Work NEW SAN LAT COVENTRY CT 06238
Phone No. (860)282-0526
Date Insp Needed 4� Yet Insp, co
Time Insp Needed Time Insp � nk�7Ep
Inspected By �_
Work in Progress
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Permi ,No.. 7--136__ town of South Windsor, CT
-Pe-rm-FtDate 04/12/2000 Drain Layer Permit
Expirafi6n [late 05/12/2000
Descrip: CK 1054 $32 . 50 WARK CASH $25 . 00
Applicant Location
Name COVEN CONSTRUCTION CO,. ` Addr:` 0615 DEMING STREET
Addr. P.O. BOX 427wisr. CHARLAND DEBORAH W
4.
COVENTRY CT. 0� $3
Phone No. (860)282-0526 .
The Drain Layer ass Ohed t 'is permit 'has `a val d license issued by the
state and hereby agrq,es 6 a I the .1;®r`ns end oonlci t i ohs set forth in the
attached 'Conditions' --;A1 r t '( # -n a Ooardarrce with Town of South
Windsor standards, albt zgt� etr3et$, hF.attached conditions.
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Issued By w .x 41
Date InspectedS1190 Y —
1
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: 9 15 0(f�yyl 4 Lot #
Street No. StreeiAame
Premises owned by: yQ
Name of Firm: U (-ru o ,�� Phone: �! b
Address of Firm: , "A C� X.) 3
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with bl PU C
Existing Water Supply: Public Water Well
Proposed Start Date V113 bo Estimated'time for completion y 1 iA
ALL WORK TO BE IN ACCO DANCE WITH TOWN OF SOUTH WINDSORDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to ft( a 1( Colew W1\1the holder of Drain
Layer's License No. rho`? cl C, 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. ,20oc l b0 d�a 7 �,
Signed: Print Name:
Li ensed Drai �ye �J
Date:
Standard Forms Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: I co
BUILDING ADDRESS em IAa
STREET
SUBDIVISION:
NORTH A ROW 03 n
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CTOR (PRINT) NAM OF COT R'S SUPERVISOR (PRINT)
STREET ADDRESS SI URE
3 r 4iE4 DATE
TOWN STATE ZIP INSPE&D BY TOWN
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--2 DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER