HomeMy WebLinkAboutDrain Layers Permit 15 Ellsworth Circle i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6477 Contractor JMJ CONSTRUCTION CO. j
Location 15 ELLSWORTH CIRCLE Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
PhQne �No. (860 )528 -7888
j
Date Insp NeededCrisp
Time insp Needed Time Insp _
Inspected 8y
Work in Progress � c�:sl �•,, t''ir� ce 16E
I ��rrput , Date
Permit No. 64-7 Town of South Windsor', CT
Permit Date 09/12/1,996 Drain Layer Permit
Expiration Date 10/12/ 1996
Descrip :
Applicant Location
Name JMJ CONSTRUCTION CO. "-Adds, tb LILSWORTH CIRCLE
Addr . 658 ELLINGTON ROAD u�vn e17
SOUTH WINDSOR CT ,,,060T4 '.
Phone No. (860)528-7889
The Drain Layer assignod th, s permit hay a vall'd, Iicense issued by the
state and hereby agree's_ to , f`i .the terms`` and conditicos set forth in the
attached 'Conditions' . .`A 4i'k 4heii1 .bs n 'aQc rdan with Town of South
Windsor standards , all OSHA t"ecu7rements, ,and th attached conditions .
=d
_
Issued By _ - ,f' #4.1
Date Inspe.ctd �1 �r� Inspected 8y
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: / �� �7�� C l �. Lot #
_ Street No. Street Name
Premises owned by: :1 /Y}'I f o jls'�i-'
Name of Firm: 5 2q 2:ff Phone:
Address of Firm: LLE 41nl-1 Red
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date lt)�± 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 ;S�, k VX �L the holder of Drain
layer's License No. 2OcW-� Only holders 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.
Signed: Print Name 74avla
Lice D n Layer
Date: ���