HomeMy WebLinkAboutDrain Layers Permit 102 Strawberry Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7652 Contractor WILCOX>:CONSTRUCTION CO(DARRYL)
Location 102 STRAWBERRY LANE Address;; 535_`<C7TD><.>STA`F:FORD ROAD
Type Work NEW SAN LAT TQLLANT7 CT 0608<
phone No C&6::U)8.71 `18394.
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Permit No. 7652 Town of South Windsor, CT
Permit Date 07/29/2003 Drain Layer Permit
Expiration Date 08/28/2003
Descrip: CK 1586 UNITS 101 102, 03 $349500
Applicant Loea;:tion
Name WILCOX CONSTRUCT ION...CO(X3ARRYIx3 F�ddr I'Q2 SRAWBFRRX LANE
Addr. 535 OLD STAFFORD ROAD O�rrn�r
TOLLAND CTR.;.,06084....
Phone No. (860)871-1835
The Drain Layer assi:� "d this p r t has # valid kltense issued by the
state and hereby agxee's' to a.hl the ter and condrt:sorts aet forth in the
attached 'Conditions':.'"All worfc shallehGordaneo with Town of South
Windsor standards, all OSHA inspec
5' By
at.tachedaeanditions.
Issued By1!'� /Date Inspected ____-- +�
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, Cr
FEE $60.00
Location of proposed work: rf� ,S' Lot .2
Street No. Street Name
Premises owned by: .
Name of Phone:
Address.of Firm: ��� ��� /`,?�✓ �''j �dG��t. c°�`"a�a��
.TYPE OF WORK:
Lay House Drain _; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date 2 Estimated time for completion Pef
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 the holder of Drain
Layer's License No. Only holders of P-i,g5�or W-9 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.
Signed: Print
Licensed Drain Layer
Date•_���
Standard forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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. TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERALFIELD LOCATION
DATE OF CONSTRUCTION: �-
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW , err
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CONTRACTOR (PRINT) NAME OF CONTRA T RIS SUP RVISOR (PRINT)
5 3 ct
STREET ADDRESS SIGNATURE
L C 0 2— A4DATE
9zo 12
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER