HomeMy WebLinkAboutDrain Layers Permit 57 Eagle Run TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7887 Gvitr4atv:.,< WILZ aR±GHAEL (EAGLE)
Location 0057 EAGLE RUN A e AG b1A, HWORK SERV.
Type Work NEW SAN LAT 'Vl'OAD
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Permit No. 7887 ..», <;w,. Town of South Windsor, CT
Permit Date 03/11/2005 x. Y ,.Drain Layer Permit
Expiration Date 04/10/2005
Descrip: INSTALL SANITARY LATE r '
Applicant €�`•`?r ..v; I,oq�`'G, pn
Name WILCOX, MICHAEL ` ("EAGI,El - z 7 MOLE
Addr.. EAGLE EARTHWORKr SE V.`:.�t ka NNR . 'NG1..,..4V—,TLDER3'. INC
101 N MOUNTAIN.OU :::ROAD'
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CANTON . T::0r60;1
Ph
one No
. 860 693-202
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Th Dr in L e a a er ss'A s "`•"`kY' �>>v'>"?=>:�d ;f'�`` se`-issiued b h
state and hereby ag ;eg. .:>to a `tt)a trskt$ : f �c#iis -set forth in the
attached 'Conditionsl All f`woc4sk�a1 h iYT �co dah�e with Town of South
Windsor standards, all: O :t a quit". ;U4 a4£: ck'gd. a:Qnditions.
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47 816-
' 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: 2r'7 ? /P_ Lot #
Street No. Street Name
Premises owned by:j� /l A /1, f v
a
Name of Firm: '�� ✓� g
Phone: S'-� �
Address.of Firm: /01 ZVO-e-tACG
TYPE OF WORK:
Lay House Drain '1 Repair House Draln
Lay Main ; Lay Lateraf for Commercial/Industrial
Building of acres
Connection will be made with _ 110
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 ��� /�� �� lc�,� the holder of Dram
Layer's License No. Z 78 1/6 Only holders of P-1 P-7 or-W-9 licenses
will be issued a permit. PERMIT WELL 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,
Print Name: et4 1
�� eiLO
Signed:
Licensed Drain Layer
Date: t C/
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
,,:TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: L
BUILDING ADDRESS : Ldle L)z
STREET
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NORTH ARROW
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COkWCYOR (PRINT) NAME OF CO RACTOR'S /ERVISOR (PRINT)
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SfREET ADDRESS SI TU
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TOWN STATE ZIP INSPECTED BY TOWN
1f� C 0 7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR .
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Co ' I ' 2. 00L)
BUILDING ADDRESS
STREET �►� �l
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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