HomeMy WebLinkAboutDrain Layers Permit 1004 Dzen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No Con ' 5tor;PURIN.TON`'"BUILDERS, INC
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Type Work NEW SAN LAT VTz:<,�.�2AN97 C,T 6'6026
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Permit No. 8134 Town of South Windsor, CT
Permit Date 01/08/2007 Drain Layer Permit
Expiration Date 02/07/2007
Descrip: INSTALL SANITARY LATF.PJ L
Applicant
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A PURINTON BUILDERS;:Name ^ 'Addr. 33C BRADLEY PARK<'ROA7 " : �';S�i1�.F),,,�y z$. .i>..➢T.
OW rYSULLIV: TO� 50M9-S LLC
EAST GRANBY C'1',.,.06;D2fi' a
Phone No. (860)653—66S
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The Drain Layer dss ri ei;;t;:V'. is<.>h. zt l': :d 1. ;: .t3x`'s" :ssu d by the
state and hereby agree>s thec't�'Y�Y ` Xit<."forth in the
attached 'Conditions'?a '1 "Zile."., #Y> 7Ysr.' i aii :eF�vWtk TbVn of South �
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Windsor standards, all. OSH>1 'T.equirean' ;,;:,a kdi:€ Y att:ad ed,RG.bn'CLitions.
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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: /ze-A0 Lot # �6O
Street No. Street Name
Premises owned by: So I I i y 1,, -� 4yLi�,B
Name of Firm"'PO(L i N-1-0 AJ Ru'We& _" T� Phone:
Address of Firm: 3 3 1c,
TYPE OF WORK:
Lay House Drain1/ ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 3.- -rt S 1 9�0
Existing Water Supply: Public Water i,--" Well
Proposed Start DatW-9 -0 Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITION
S ATTACHED TO THE PERMIT
Permit is to be issued to �` e �(.S Al the holder of Drain
Layer's License No. 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,:;�Z® A) " Al 5�3
Signed: J444,t, Print Name:
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER , LATERAL TIELD '- LOCATION
DATE OF CONSTRUCTION: QL `� 7
BUILDING ADDRESS
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SUBDIVISION: e
NORTH ARROW
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CONTRACTOR (PRI ) NAM CO R'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
w DATE
TOWN T STATE ZIP SPECTED BY TOWN
6 a b.5 -6�0 y DATE
TELEPHONE NUMBER
WHITE = TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER