HomeMy WebLinkAboutDrain Layers Permit 45 Ellsworth Circle TOWN 401: SOUTH WINDSOR INSPECTION REPORT
Permit No. 6740 Contractor JMJ CONSTRUCTION CO.
1_5o.ation 0045 ELLSWORTH CIRCLE Address 658 ELLINGTON ROAD
l ype Wot k. NEW SAN LAI' SOU1 H WINDSOR C'f 06074
Phone Nci . ( 860 )528-7889
Date T nsp Needed /Z�//�z' 7 04te Insp. Z.
Time Insp Needed �rfine_ Ins .Inspected
By
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Work in Progress Nv. LITTULL
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Permit No. 6740 (own ter :youth Windsor, 0-T
Permit Date 12/ 10/ 1997 Drain Layer Permit
Expiration Date 01 / 15/ 1 998
Descrip: LOT 20
App i i can t L_ocat i On
Name JMJ CONSTRUC'fIOr-3 Co. Addr . 0O45 ELLSWORTH CIRCLE
Addr. 658 ELLINu1"ON ROAD Owner J 'M J CONSTRUCTION COMPANY INC
SOUTH WINDSOR CT 06074
Phone No. ( 860 )528-7889
The Drain Layer assigned this permit has a valid license issued by the
state and hereby agree to al the L'erm and o t;tittl_ons set forth in the
attached 'Conditions ' . A I 11, wor'k, shalI .be i,n accordance' with Town of South
Windsor standards, all OSHIA. r e q u i renien,.t 9 d the.-attached conditions .
Issued je d 8
y
Date Inspected (/
ltapected icy, ----/` =/L-_��' -----_ -----
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR � ya
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: � lf� l�t� Lot-#,
Street No. Street Name
Premises owned by: E 2-
Name of Firm: Z-- Phone:
Address of Firm: i,
E
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with a
Proposed Start Date 4a/& 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 to t]c `f 4 the holder of Drain
layer's License No. Only golders 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.
p, >
i�� , � Print Name cm/ } �.���-cJ�- .
Signed: �i'l'l, � -�
Lice rl6d 2in Layer
Date: