HomeMy WebLinkAboutDrain Layers Permit 36 Ellsworth Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permi?1. No. 6664 ' ' Contractor JMJ CONSTRUCTION CO.
Locat-ion 0036 ELLSWORTH( CIRCLE Address 658 ELLINGTON ROAD
Typ%'W'or4-: NEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. ( 860 )528-•7889
Date Insp Needed Date Insp., � z-
Time Insp Needed --__ -- _ Time Insp; _ ---
Inspected By >- y� ----
Work in Progress
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Town of South Windsor, CT
Permit No. Ci66a
Perrni-:� Date 08/15/1997 Drain Layer Permit
Expiration Date 09/14/1997
Descr i p: LOT 22 PM2
App l i carat Location
Name JMJ CONSTRUCTION CO. Addr. 0036 ELLSWORTH CIRCLE
Addr . 658 ELLINGTON ROAD OwrTer J , M Jn,CONSTRUCTION COMPANY INC
SOUTH WINDSOR CT 0(50J4
Phone No. (860 )528-7889
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The Drain Layer assigned this permit has a valid Ticense issued by the
state and hereby agrees to,:al-l ` the terms and condition:s get forth in the
attached 'Conditions' , All work shall be in accordance: with Town of South
Windsor standards, all OSHA reciuire°ments, and the attached conditions.
Issued By Ti tle,
C
Date Inspected -�.��-�------
inspected By ---------.. a
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTII AFT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: 0� 5 �(�l� Lot # a
Street No. LLStreet Name
Premises owned by: mil') T
Name of Firm: Phone: �a�� C�J
Address of Firm: I.*,
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commerce I/Industrial
Building of acres
Connection will be made with.
Proposed Start Date 9-/5-
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 Jcy5 J the holder of Drain
layer's License No. 30 '3 67 . . Only ho ers of P1, P7 & W9 licensee 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,
Signed: Print Name T'rC-C t0(!!5
Li ` e .: rain Layer
Date: '""