HomeMy WebLinkAboutDrain Layers Permit 500 Evergreen Way (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7771 C .A,Z,Z'.,<::...
onk>ra>��`o r SP AZZARINI<::;._CONSTRUCTION
Location
I c dx< s :.:3 <`1 .0 PORT��FFICs. RD
Type Work NEW SAN .
Pli<bn@;"' o,
Dat
e e In `ia
s
P Needed Ne e Time Insp Needed
Iri y y
s ected B
P
Y
>
iJ
i�
y
Wo
rk
k in
Progress
>t , 71- At
:
,3
l77,
^y. F'
<
s ' .
`x%"
S
a
,
1
-------------
trte
Permit No. 7771 Town of South Windsor, CT
Permit Date 07/12/2004 Drain Layer Permit
Expiration Date 08/11/2004
Descrip: INSTALL SANIT. LATERAL ;TCI LG. a✓
fn
Applicant
«€
:o 4.e
k2:
_ •<'l "ice�'"::.',
Name SPAZZARINI CONSTRtTCICn; r 'sLFiR�al� N WAY
Addr. 50 POST OFFICE RD 4rOAG & t3+ICEW �7 LIFETYLE CENTER
0
ENFIELD, Cry<x.00824Jyq f
Phone No. 860 745-56`83'<
5.
g
; .
jhe
The Drain Layer
nse is�:' "e b�c1s°slgn:a'd?>.tlj;:�s . =s. �Ud Y t
state and hereby agree0`' a', the terms and corlt�lt�3 7r� met,for h in the
attached 'Conditions`.. `All w61c sT1 ` " '� Cdcne wkh 3,0. of South
Windsor standards all.. 0SRA` . ' `Aitions.
>:Fa%
x<
PFQN� x
<
<
Issued By -------------------
Date Inspected --------------------- I ri s'p' 't' ;>.B Y ------
APPLICATION FOR DRAIN LAYER PERMIT 77-71
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
154.0 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Soft rv'rLGruf,-j %-JA�
Location of proposed work: 161 Buce(ond S1 01d lilQ 1 W Lot #
Street No. Street Name
Premises owned by:_ Pon Mc, Ewen L t kskjtf C fa Fjr K
Name of Firm:-_ Z7-0KInr' CC/dI d Inn Phone:-7�f�- 5W:�
Address of Firm: ® PbSi 0 i��6 Rd , En _(I
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main _ b f_r ; Lay Lateraf for Commercial/Industrial
Building of acres
Connection will be made with b" PV6
Existing Water Supply: Public Water Well
Proposed Start Date (0/16 Estimated time for completion 1
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 Echi0o rcj, �f ara 1 i n; the holder of Drain
Layer's License No. ?_7 9 733 Only holders of P-l�or W-9 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.
CBYD No. Z(D0J-12(aO07,3jS
----Signed: Print Name:_ Edct)n
Licens ain Layer
Date: i
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
WAIr mmill Willim Allik
At
■■ ■
■■■ MINN ■ ■ ■ ■■■NONE
■■■■ ■
■ ■ ■ ■ ■ ■ ■ ■
■ ■ ■ ■■■ ■■■ ■
11'
1 1
1