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HomeMy WebLinkAboutDrain Layers Permit 1739 Ellington Road (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No 7442 Contractor CHERRY HILL CONSTRUCTION Location ^II T a{7D,. Address P.O. BOX 134 Type Work RPR SAN LAT BRANFORD CT 06405 r:j))Sc�,.,,{es�r oil Bict 4� e No. ( 203 )488-7929 5}dP�Shp Date Insp Needed IS 1 O; Time Insp Needed Inspected By e Work in Progress � j I `► l2 m O tat S k �1 S�: Ocso 7ic�C,'y► b 1-�.b ✓ fo n C:'m. Date C2 ' Per#m41 ,sjo. 4 7442 Town of South Windsor, CT Permit Date ` 06/10/2002 Drain Layer Permit 'Expiration Date 07/10/2002 Descrip Applicant Location i Name CHERRY HILL CONSTRUCT N r. ELLINGTON RD Addr. P.O. BOX 134 I RD S. KELLY BRANFORD CT Phone No. (203)488-7929 The Drain Layer a s s as cense issued by the state and hereby agr h nd i s set forth in the attached 'Conditions' . 1 r a with Town of South Windsor standards, al q E A ached conditions. Issued By Date Inspected y e .k o: 1. 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: 17,3'1 £l I , o rV 1J Lot Street No. Street Name Premises owned by: MCA 14 60 Name of Firm: wl r� Phone: Address of Firm: Sl 6'r e �Z d) (2te-e IJ (�203) L4 10 -039 0 P.Q,ueSr'1^0 TYPE OF WORK: Lay House Drain Repair House Drain PI t V4v,& Lay Main ; Lay Lateral for Commercial/Industrial Building - of acres Connection will be made with v Existing Water Supply: Public Water ✓ Well Proposed Start Date*l Estimated time for completion G Cv voZ• 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 �av�dt �" K SO\ the holder of Drain Layer's License No. 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 ano attached thereto. Applicant has received Town Street Excavation Permit No. &1A and/or ConnDOT Permit No. IVA CBYD No. Signed: Print Name: V ® 4 PC /4'er � CJ Licens D n Layer Date: �d ©d'. Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc