HomeMy WebLinkAboutDrain Layers Permit Ellington Road - Pod 1
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No.' 7661 Contactor J & H SLATER CONST CO
Location -A. d 75 COMMERCE WAY
Type Work SAN MAIN 4QUTH WINI35OR CT...06074
Phone,"`No 528 .5252
Date Insp Needed Date Ids
Time Insp Needed
Inspected By
Work in Progress — r- l,V 5{ S
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Input.— _ Date `I(0 �P—�O
' Town of South Windsor, CT
Permit No. 7661
- Drain Layer Permit
Permit Date Og/11/2003
Expiration Date 10/11/2003
Descrip: MAIN LINE ELLINGTON/RIVERVIEW PODUNK f2TDC,E
Location
Applicant
Name J & H SLATER CONST ,CO Adc�r
Addr. 75 COMMERCE WAY >
(1Waer R.S KEIaL:CO
SOUTH WINDSOR CT.,."OG07�k
Phone No. (860)528-5252
is
The Drain Layer dss3'gned 'th3s Istir � h � Vd .lcense asued by the
state and hereby agree;st to l the't�rms"and corn itz�zns set .forih in the
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attached 'Conditions' : ll v�oz shall
. bed sCatane With Town of South
Windsor standards, all; OSHA tecjuiY mei3t&: a33d. he attacT]ecl:: cor'ditions.
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Date Inspected peeted --
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APPLICATION FOR DRAIN LAYER PERMIT 'go
• TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT 87 l
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: MD('A P-(D4 Lot #
Street No. Street Name
Premises owned by: �— , IC-E CO
Name of Firm:-_ J <_� i Phone: �ZS-S'L5 Z
Address.of Firm:_
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main . ; Lay Lateraf for Commercial/Industrial
Building of acres
Connection will be made with .
Existing Water Supply: Public Water. X Well
Proposed Start Date-I CU Estimated time for completion 1,6�( 4
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 _ J e (/J, 5ZA►�Z 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.
Signed• CC, Print Name:_ JAIkt�
Licensed Drain Layer
Date:_- 11-63
Standard Forms\Permb\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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TOWN OF , SOUTH WINDSOR
SANITARY ., SEWER . LATERAL FIELD LOCATION
DATE_ OF CONSTRUCTION: -�3
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TOWN STATE ZIP INSPECTED BY TOWN
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SANITARY . SEWER -1ATERAL FIELD LOCATION
DATE OF CONSTRUCTION. .7—o-S
BUILDING ADDRESS $6f 6c.u"367.>, "AA
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