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HomeMy WebLinkAboutDrain Layers Permit 43 Dogwood Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7108 Contractor JAMES THROWE Location 0043 DOGWOOD LANE Address VANS SEWER & SEPTIC Type Work NEW SAN LAT 97 RIVERSIDE DRIVE VERNON CT 06066 Phone No, (860)289-0095 Date Insp Needed ' , 1 GA � f)at6 ;Insp F Time Insp Needed Time Inspected By T, L4 ' 4 L �I, ©/ ✓tr.sJe� e .yJ . �/f Work in Progress Input Date z/�j� is Permit No. 7108 'Town of South Windsor , CT Permit Date 01/18/2000 Drain Layer Permit Expiration Date 02/17/2000 Descrip: i Applicant Location i Name DAMES THROWS Addr. 0043 DOGWOOD LANE Addr. VANS SEWER & SEPTIC ; Owner TOBIN LYNN M & GREGORY P. 97 RIVERSIDE DRIVE VERNON CT 0C7G Phone No. (860)289-0095 j i The Drain Layer ass=i gnedl, this pert'�'i t has a valid license issued by the 3 state and hereby agrees to; aa I' the term and conditions set forth in the attached 'Conditions';'.' A 11--Work skull be,, y i n accordance with Town of South Windsor standards, a1 ;1 't}SA` t�equ.ire ►eht and the attached conditions. Issued By Date Inspected Inspected ByG�,% APPLICATION FOR DRAIN LAYER PERMIT �I TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: 6- &\/00 Lot Street No. Street Name Premises owned by:—T, n Name of Firm: C. Phone: / Address of Firm:-- TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Proposed Start Date,,-,2Q, # 06 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 J 7�r Wn4,.., the holder of Drain Layer's License No. Only holders of Pi 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. Zp3-.8 i 5435 Signed: Print Name: Licensed Drain Layer Date: f4A')ox� Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WIND SOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 00 BUILDING ADDRESS STREET SUBDIVISION: NORTH ARROW fill I ; {i r ( I - -- - - - Y/ CONTRACTOR (PRINT) NAME OF ONTRACTOR'S S� SOR (PRINT) CL STREET ADDRESS f SIG AT R 4 an DATE as �s v TOWN STATE ZIP INSPECTED Y TOWN _ � �J��J,j DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER _+i'__S rN r�'�,.h4 4rR�•il'.�.ieti ,.}R7 }f e 1 r i kj' `y r r� ` ••_:, •�i+yam,• y,�. t `rr ; A-.OY�;1'•i1roM.'Am ' + r}s M . 7V-1 •1 1 •. �i+ �M�`-V.Q�u�9Y�O�7OVIrr"`�i•T r i.r) p.iis<t *•1 tw1�ti7• i i ^ - •! fi ,'C+ �I�-O ° � >tY-Ms!!•'16sy IM.lrs"i ^•.Mr•� s 1.' 4 .•r '�c�2 !7 7. tr rt '} t1.rr1�.•,5 r�i•'�'. s r l Mr.`••E i Sri :".ilk - 1j7 t/ 3 i t_ -.S - -i As }.f;,fF;SVf' T�• •Y�'•77 9'V VT(. +.1 rm. 00'�^ r j• < i. •�f '��Lr�! • r, +. �.j 4�- e. .. j` L� T: ,. hT1,Klu'•r,,. tf 7 .000y' oo'Ti 00419 ~ b - •af ;J ��_ '�R.••�. i{µ 1\' 4 .JI":a'��i' ,.iG's•t}{ •.l. • j •l 't l r •Yt l� j'� � tip • _ }1:Y'k' w.: ��;} s.U,. r t 7)3 r r 4-*'� •�Lr•'...'.. r - •t. r t:rS,�r•� t i• .p a >:L�� '31'ARI ;".f.�•, .} 7 NC x•t�•`�= li j�:r + �'17�r t e "itprS, .',Pf y � •'•. - ., -}..Y 2.. 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