HomeMy WebLinkAboutDrain Layers Permit 36 Eagle Run TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7856 Contrdbtor ,WILCQX,"`'fi1I,CHAEL (EAGLE)
Location 0036 EAGLE RUN A`Ed es AEAGL #iTHb bR�C SERV.
Type Work NEW SAN LAT M�U AI:3i*SAD
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Permit No. 7856 Town of South Windsor, CT
Permit Date 11/08/2004 Drain Layer Permit
Expiration Date 12/08/2004
Descrip: LAY HOUSE DRAIN
Applicant
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Name
WILCOX MI CHAEL
(�...G:I�),.
Addr. EAGLE EARTHWORKS DE
RV.
t:x. NNAiVO'iiI LRS' INC
101 N MOUNTAIN
CANTON
Phone No. (860)693-2Q27"
The Drain Layer
Y :,.d '.eppe"�'tS4ed by the
state and herebyw
a 9d:,td:, to m `an«d on ' set` p r.t h
in the
attached 'ConditionstiaoY;, x ':iit'h To;in of South
Windsor standards, all,• OSXA Xd ui e �`
:. -i>::* e: at hec`> c.01ditions.
M 's..
Issued B
PC=PNA j
Y .T i --- — — &--------------
Date Inspected -------------------- Inspected By _
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: to C "12 Lot #_
Street No. &Street Name
Premises owned by: / IC n h a el""V
Name of Firm: a�_ r '���Jox�C Phone: �g,3 aoz7
Address of Firm: rol 11 OA-t-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 0 K PKI
Existing Water Supply: Public Water X Well
Proposed Start Date I�-/0 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 /I d d,�461 0"(60 K the holder of Drain
Layer's License No. 2-7 9 11(o . 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: ( Gu j !
9 Print Name: ����?t Gy�je-Gu
licensed Drain Layer
Date: l� .
Sfa'ndard'Forms\Petmits\APPLICAll FOR:DRAIN LAYERS PERMIT doc .
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: .w r�� L C Z czy
BUILDING ADDRESS
STREET
-f- SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER