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HomeMy WebLinkAboutDrain Layers Permit 1002 Dzen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT i Permit No. 8132 Con ,Vf&ctotr PURI,NTO ILDERS, INC Locationbt3'� R}�t: e` S a 3 3 C ` -1LEX PA. ROAD Type Work NEW SAN LAT Yp �.�`� .::: 't;t:.t :..tn:l..::.' :.>,� AN9'1 CT �"6 6>0 2 6 I PiQ.sYAN:6,:fS "6, 3=:6661 .. ' " Date Ins Need ed d �j -------------- Time Insp Needed s Tz: .Ine ;t ` Inspected BY � c�... k. : C W rk i, o in Pr r o e s s 17-14 . T. •x. �L � W. LAIA :';fin E:t 3a'r r, ------- ---------------- ----- TZ> f;. .� ::?'. Apt. 16 Permit No. 8132 Town of South Windsor, CT Permit Date 01/08/2007 ::;«tF• Drain Layer Permit01, j Expiration Date 02/07/2007 Descri INSTALL SANITARY LAT p� ERI1L .� ^Ffry :off „,. :t., •,:��,,, ^:":'Ee: t 5 Applicant „.' °., L' a, Name PURINTON BU ILDERS T ;: Addr. 33C BRADLEY PARK'ROAll' �tilie'r SULLIVFtiI1...F0,6$T'IOMi'S LLC s.,33Q R J.t. EAST GRANBY CT d 6: �. Phone No. 860 653-66�4<.. .:8 The Drain L r a e " _�s ''`n c"f. � t�'.:r3'.'t;��s`"•''x":.:''t 'saved b the state and hereby agr'ee.,q-td"<a :":theorh in the attached 'Conditions yt1 vioaJ ' 3 >3r 'crali .wti''tb T6wtn of South Windsor standards, alb:, OSH.Z.. �if�t� C''s;;;a�a�s<�: l�""att:a`C':1ed<..c:ori itions. r •�Issued B � y ------------------fir:. : .... :.., sk:Qr':• —.:.,;,-Y::._ ------------------- ,x Date Inspected --------------------- r ri 'P' ' 't 'Y 4813L 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 # /00 Street No. Street Name Premises owned by: J v/l/ 11 aj f©cxw gd s Name of Firm'Qa-j P-3'-76 t t (Ql ��5"'J-c- Phone: Address of Firm: C TYPE OF WORK: Lay House Drain Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with e� f SA S -f 5)6 J40 Existing Water Supply: Public Water. Well Proposed Start Date f� -4 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 Ze-.&��vrS Peal &f-MtO the holder of Drain Layer's License No. A7 8 !a-3 . 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 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. c:V O Signed: Print Name: 71)e-PIJW4J ���'�'� Licensed Drain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc me] r mm S 1 11 ' r , MEMO MONO 0 m 0 m 2J- • 1