Loading...
HomeMy WebLinkAboutDrain Layers Permit 190 Diane Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. ContxactorVIOYETT9-:;,.,gILVESTER & SONS Location $ As r1s .' 'a 5 Q44RRY STREET Type Work W SAN LAT .T.HA3tT�IADy.C2?::;.06108 Pf2one . Qr,{8a �2$� 4g6 Date Insp Needed Time Insp Needed ....... i ySif Inspected By Work in Progress "tt`s4 :N 3 y --- io jog ----------------------- -- -- — L '2-- t i I Permit No. 7781 Town of South Windsor, CT Permit Date 07/16/2004 "" Drain Layer Permit Expiration Date 08/15/2004 Descrip: INSTALL SEW. LATERAL,: 3Y. Applicant .' Loci 3:on Name V I L E SILVE ?` O ETT .r STE Addr. 65 CHERRY STREET:" O`E : x FLETCHli .;`..I�q `11L'IND. ny'4M1 EAS T H ARTF ORD `C 0 61'0 Pho ne No. ( 60 8 289-34.` . 3 h: i The Dra in Lay er y �,}�A3c1 l�te�;ts� id by the state and hereby hednt cd'ri It��.n ., t orth in the ,.t. attached 'Conditions .ail"1 ' b3c""; ThI' ,: 5; .>z; rdan ` Towsi of South Windsor standards, a1I:::. OSH attsMed?>;,.onditions. F� js rr l' f Si' Issued Y ssue �B Date Inspected APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 n Location of proposed work:_ �� �a Lot # Street No. Street Name Premises owned by: C-7- Name of s �c ,:Phone:-2�9 y66` Address.of firm: �/`-- TYPE OF WORK: Lay House Dram -�,- , Repair House Drain ; Lay Main - • Lay Lateral for commeraai/Industrial Building--,_of acres . Connection will be made with Existing Water Supply: Public Water_ Well Proposed Start Date /?ICY Estimated time for completion ALL WORK-TO BE IN ACCORDANCE WITH,TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS ANDCONDITIONS ATTACHED TO THE PERMIT Permit-is to be issued to :::77s�� 1-nu the holder of Drain Layer's License No. Only holders of P-1; P-7 or W-9 licenses will be issued a permit, PERMIT WILL EXPIRE THIRTY.(30)DAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer.hereby agreesto all the terns and conditions set forth in the permit and 9 thereto." Applicant has received Town Street Excavation Permit No. a ;>I and/or ConnDOT Permit No. CBYD No. d©,Y '-1 6'© 4 Signed: Print Name: _�)o .� /•-�o Licensed Drain Layer Date:_ ?�6` Standard Fottns\Permit WPtICgION FOR DRAIN LAYERS PERMtIT doc- � : ! 1 f � Ilk mo ■rr ■■ � � .�■r ■ ■r ■s■ ■■ ■ �■ ■ ■■■■■ MEN