HomeMy WebLinkAboutDrain Layers Permit 111 Dogwood Lane Permit No. 6472 Town of South Windsor, CT
Permit Date 09/64/1996 Drain Layer Permit `!
Expiration Date 10/04/1996 j
Descrip: ADDITION TO HOUSE MOVE HSE SEWER
Applicant Location
Name JAMES THROWE Add"r. 0111 DOGWOOD LANE
Addr . VANS SEWER & SEPTIC Ow-66r 'MEALY WALTER J & MARILYN H
222 TROY ROAD
SOUTH WINDSOR CT 06074
Phone No. (860)289-0095
The Drain Layer as4tgned th 4 permit has a valid 1'`icense issued by the
state and hereby agrees to 11, .th 'i er s and c4rSd ti on;s set forth in the
attached 'Conditions' ,, A 1 ''W"br sha;t°1n "ao;t`daxice 4v i th Town of South
Windsor standards, a11. ;OSHA',Fr0qulrements, " and tie attached conditions.
Issued By - - :- l / ,�n T'7"tl8 zsrr9 .c r'7*_. .•-d�id�r�-� -------
Date Inspected nspe"c,ted " By
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6472 Contractor JAMES THROWE
Location 0111 DOGWOOD LANE Address VANS SEWER & SEPTIC 4
Type Wore- RPR SAN LAT 222 TROY ROAD
SOUTH WINDSOR CT 06074
P1`ione ,No. (860 )289-0095
Date Tnsp Needed _Qp to nsp _Qg - -sue- 5!6'
f
Time Insp Neededsp ;zo_ ----
Inspected By
f1Zy�r� �� � rr�`i-/cc,Lf�?"- �✓�,�Aary.!ir`oo�'
Work in Progress
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Date a�`
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: ' ' �� Lot #
Stre t No. Street Name
Premises owned by:
Name of Firm: c, V Phone:
Address of Firm: C , k.f- t ,�
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for CommerciaVIndustrial
Building of ° acres L , j v r� �t 4�'
Connection will be made with ( (,
Proposed Start Date 4) , -11
L'stimated 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 V fO—L the holder of Drain
layer's License No. -20? Only holders of P1, P7 & W9 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 a terms and conditions set forth
in the permit and attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No.
Signed: Print Name
Licensed Drain Layer
Date: �'