HomeMy WebLinkAboutDrain Layers Permit 20 Eagle Run (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7870 Contr� Lar"Witt�{� yMICHAEL (EAGLE)
Location 0020 EAGLE RUN
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Type Work NEW SAN LAT
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Date Insp Needed
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Time Insp Neededym� r� 1> y s x
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Inspected By
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Permit No. 7870 Town of South Windsor, CT
Permit Date 12/07/2004 Drain Layer Permit
Expiration Date 01/06/2005
Descrip: �
Applicant
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Name WILCOX, I HAEL "L'
Addr. EAGLE EARTHWORKERV: ,.. -^ ':-w'( `rNfSNNA42 'IJO,` :UhLDERS INC�S
101 N MOUNTAIN JQA}�...
CANTON 01�-
Phone No. (860)693-262i7
The Drain Layer .: . c0-1 ef�e —8's4ed by the 1
state and hereby ag�eesn,to ]€<th e�f� ...:a 1 h�k n bt fk.kh in the
attached 'Conditions' .0.. a # zA with V,own of South
r /vr
Windsor standards, a Z OSHA �rL���Z�x�m i���'� � -C.�i� at�:��hed 'di ions.
Issued B
Date Inspected --------------------- B%°.`---------------------------
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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: Lot # .3
Street No. OStreet Name
Premises owned by: h!lc/i�Dt,► �
Name of Firm: &-Jp, vcf ti�., �^ Phone:
Address of Firm:
e
TYPE OF WORK:
Lay House Drain_; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
C,t
Connection will be made with � ��
Existing Water Supply: Public Water_ Well
Proposed Start Date 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 the holder of Drain
Layer's License No. —2z9 a . 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.
Signed: Print Name: 17-7 a
Licensed Drain yer
Date:
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