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HomeMy WebLinkAboutDrain Layers Permit 194 Dogwood Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT i Permit No. 7809 Cont,vat­or COLAB 'tA,. _CONSTRUCTION CO. a t Location OOD LANE � �l,;nkc�d e � � 145 �,tPO{?NVIliIsF.,, RD. H= Type Work N. .9 V t GR NB CT D-.6026 fl Phone"'Idp (8 b $ `6447 t \ I i_ Date Insp Needed , S. ` 9iSGf � x v Time Insp Needed r ' ----------- Inspected B : V k Work in Progress s �� p pvc .,. LL ;: v na SD �' y/ In \ `Lat f' pie��u. e i Permit No. 7809 Town of South Windsor, CT Permit Date 08/26/2004 Drain Layer Permit Expiration Date 09/25/2004 Descrip: PAID TWO PERMITS W/CHE.,YWr.Na.,GK 40 a W j, 1BFR FEE Applicant X a Lotion �I r a Name COLABELLA CONSTRUE-T�0tj CO.'.. sf, � 0194 J?Q -WOO tf L IqE Addr. 145 SPOONVILLE R �~� Y £ } EAST GRANBY CT V066S }suetri R g. Phone No. (860)658-644� -/ NQ The Drain Layer1f.asslg c# l is pex£ a xalid Z,7c4"..4b issued by the v I state and hereby acre i 7e Y r2i1ti sit.: forCh in the j 'Conditioattached Tovh of South Windsor standards, 11: �iSI �xett2;c ae cCan itions. Issued By e T qI r -------V - ----------------- � <f " Date Inspected t APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work:_ Lot # Street No. Street Name.41 4 / Premises owned by: ev CoA40J 46S ooSn) Name of Firm: c euA4 6W Co LL Phone: A -� Address.of Firm: /yJ' SRh1VV/1* 00&P ems*- G',pq,,�,gY (�L o6®ZG TYPE OF WORK: Lay House Drain S ; Repair House Drain Lay Main ; Lay Lateraf for Commercial/Industrial Building of acres Connection will be made with 1 lA ?,ok�j ` U rL"L -- ��` iiL 5P1 4.0 0— Existing Water Supply: Public Water ►/ Well Proposed Start Date Estimated time for completioni13-011651 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 allw ndoqeLC,,4 th"lder of Drain Layer's License No. Only holders of P-1 P-7 r W-9 licenses will be issued a permit. VERMIt WILL EXPIRE THIRTY (30)7DAYS 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. dP100 e f l-d qinn Print Name:_ 22 via eC,166u4 Licensed Drain Layer Date: S l 6 Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc i � An frave moll ■MMEN 0 � NoMEN ��1� ■ ■ ■fir � = � , �� ��! MINE C� ■ gl- lop s" , , Ww.fm t o r 1