HomeMy WebLinkAboutDrain Layers Permit 14 Elizabeth Street TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 8129
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Date P Needed
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Permit No. 8129 Town of South Windsor, CT j
Permit Date 12/26/2006
Drain Layer Permit
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Expiration Date 01/25/2007
Descrip: NEW SEWER CONNECTIQ r„s
pplicant
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JAMES THROWEName S
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T]�-.>'STREET
Addr. VANS SEWER & SEP,IT.0
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97 RIVERSIDE DRt
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VERNON
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The Drain Layer
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hereby ags�ee:g,;tq"i1T" ie ter_mr.., and.,corid.' '; ti`
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attached Conditi
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'Conditions ,_"A
Totivn of South
Windsor standards, alb; OSPr '' E">uiF
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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 work: 44 C1.2-14 '� �4' Lot #
proposed
Street No. Street Name
Premises owned by: GPI C
Name of firm: Uri,ri 1 /01, Phone: 2 C6* oUs s
Address of Firm:
�/ �'`^L�s' A d
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with n 3
Existing Water Supply: Public Water �O Well
Proposed Start Date27 Estimated time for completion.,?-Y 1_y
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 ra'✓ 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. cZ06 4/00 9,� S
Signed: Print Name:
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN -''OF :SOUTH ANDSOR
SANITARY SEWER LATERAL FIELD , LOCATION
DATE OF. CONSTRUCTION:
BUILDING ADDRESS
STREET .
SUBDIVISION:
NORTH ARROW
$ �
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CONTRACTOR (PRINT) OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGNATURE
t/4? JD,-1 06066 DATE
TOWN STATE ZIP INSPECTED BY TO
2, - 0 (.�'(. S7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW --CONSULTINGNDINEER / DEVELOPER