HomeMy WebLinkAboutDrain Layers Permit 1451 Ellington Road (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7326 Contractor W. H . WILLIAMS & SONS, INC.
Location 4 Address 187 COSTELLO PLACE
Type Work 'NEW SAN LAT NEWINGTON CT 06111
Phone: No.
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Permit 7326 Town of South Windsor,CT
Permit Dade 08/r15/2001 Drain Layer Permit
Expiration Date 09/14/2001
Descrip: 00RE BORE MANHOLE-INSTALL INSIDE DROP
Applicant Location
Name W.H. WILLIAMS & SONS, INO Addr. 1451 ELLINGTON ROAD
Adair. 187 COSTELLO PLACE owner; QERICH CLIFFORD RALPH &
NEWINGTON CT p8 F1
Phone No.
The Drain Layer assigned gthi a4,"m�t �-Kas vai d 1 icense issued 5y the.
state and hereby ogre , to 11 .'tletr"ins �and ooridit:icrts set forth in the
attached 'Conditions' A 1 I�,,.W6srk shall,.ti®;., n accordancewith Town of South
Windsor standards, the attached conditions.
Issued BYF�(ZNA Ti
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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 $25.00
Location of proposed work: 1 qS1 I 1EI I cr,G¢C-) 12 Lot #
Street No. Street Name
Premises owned by: C.t l PC e A Ir✓-e 44-e G-e r �
Name of Firm: I)J ���l� 1 1�aa,•�,� -?- �c�v,c �► L Phone: kq (-o -7o
Address of Firm: ew I k.)
TYPE OF WORK: /
Lay House Drain. ✓ ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with IQ s C
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 t ww,j the holder of Drain
Layer's License No. '2 o F' �s-- Only holders of P1 or P7 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 theret scant has receive
Street Excavation Permit No. an /or ConnDOT Permit No.
CBYD No.
Si ed• Print Name: 2((- bvvz j f 1 iCwhl
Licensed Drain Layer
Date: a
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc.
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 9
BUILDING ADDRESS fS�SI
STREET : CE-Ll vr.now -Rod
+1 SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
1-e 7 CosT�LC�
STREET ADDRESS l SIGNATURE
x"2,-A, 1"2g-7u^- ��1�1 � � DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER