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HomeMy WebLinkAboutDrain Layers Permit 153 Edgewood Drive i. Permit No. 6774 Town of South Windsor, CT j Permit Date 03/31 / 1998 Drain Layer Permit Expiration Date 04/30/1998 Descri'p: i Applicant Location Name SILVESTER VIOLETTE & SONS,,� � , Addy. 0!'53 EDGEWOOD DRIVE Addr . 65 CHERRY STREET ;U ?Cter WERE4CHUK JOAN EAST HARTFORD CT 06,108 Phone No. (860 )289-3466 The Drain Layer ass7gned this ter rmi has a', vat d 4,ic;ense issued by the state and hereby agrees to al.l the tern and 60nditions set forth in the attached 'Conditions ' A T o is shatI I n accordance with Town of Sough Windsor standards, a1l,'OSHA raquirementS$ atld the attached conditions. F Issued B Date Inspected By /- -�� �- ------_ _ t TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6774 Contractor SILVESTER VIOLETTE & SONS Location 0153 EDGEWOOD DRIVE Address 65 CHERRY STREET Type Work NEW SAN LAT EAST HARTFORD CT 06108 Phone' No ( 860 )289-3466 Date Insp Needed Date: tic-, Time Insp Needed %�T � .-. T 04 Ihep.� Inspected By r Work in Progress 4-7{ �- _.__._.. _.._..—_.___—.�.___...�.._—T�.___ �,-..� Tom.r� �+•. t Ihput �K` t`��4` - Date l i APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 d work / � e Lot # Location of propose Jr 3- .Street No. 7et Name Premises owned by: en&-m Name of Firm: Phone- Address of Firm: S7 TYPE OF WORK: ` "' Repair House Drain Lay House Drain p , Lay Main ; Lay Lateral for CommerciaVIndustrial Building of acres Connection will be made with pyc Proposed Start Date Estimated time for completion o2 �a - 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. ,,)7,?S 9 my holders of Pl, P7 & W9 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. Signed: Print Name �- -icensed Drain Layer Date: � TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS STREET N SUBDIVISION: NORTH ARROW : , G r t r i t t t1 i s 1 } t G I , j i , 1 � t 7 c CONTRACTOR (PRINT) NAME OF CONTRACJ ORBS SUPERVISOR (PRINT) 01 STREET ADDRESS SIGN DATE TOWN STATE ZIP PECTZf BY TOWN ® 4?" 31-14 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER