HomeMy WebLinkAboutDrain Layers Permit 100 Evergreen Way (2) ` TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7775 Con�,"ctorYSPAZZAlfM-1 CONSTRUCTION
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Permit No. 7775 Town of South Windsor, CT
Permit Date 07/12/2004 Drain Layer Permit
Expiration Date 08/11/2004
Descrip: INSTALL SANIT. LATE :AT t.:TO'9,LD�GF.
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Applicant Loa '.n
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Name SPAZZARINI CONSTR6C'"I0N
Addr. 50 POST OFFICE Rt5 f �yQtli'eOAG dos„ CEWE$J LIF Elk
TYLE CENTER
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ENFIELD,
Phone No. (860)745-56$3 f,i :y
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The Drain Layer ssign�ti f s p s� i� � 1 Cens iBvIr by the
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state and hereby agrees`''„ M'&MI t. e terms,and. condi�����fset or in the
attached 'Conditions' •All woe ShaLl yprda w�th Token of South
Windsor standards, all::;OSa?1.. r. ;gUirlih3:<:.:azt: .: e.. attac ,d oaditions.
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Date Inspected ____________________ InspeC'te
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: 61 Buckl'ond 1. Bt d tn�,, S .Lot #
Street No. Street Name
Premises owned by: P + M6 wfn. L C` n r
Name of Firm: 5y
izzooni CUYIMdi CO. InC • Phone:1y6- 5(083
Address of Firm: 6D ppSt �jr►�r /�JG 7 n� n _2
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main seL tr ; Lay Lateraf for Commercial/Industrial
Building of acres
Connection will be made with La" PV(�
Existing Water Supply: Public Water ✓ Well
Proposed Start Date (0 l 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 -6dWo r 5 ra z a f �n; the holder of Drain
Layer's License No. 27 97 A3 . Only holders of P-Ij(�r 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. ZO0H2(o002,
Signed: Print Name: L&AY)rd, SZZGt(1 ��
Licen rain Layer
Date: 79
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
. TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS :
STREET : 1
SUBDIVI ION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR' SUP SOR (PRINT)
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STREET ADDRESS SIGNATURE
G �.� �c� i�./ TI/s�s/ DATE
TOWN STATE ZIP INSPECTED BY TOWN
FF Q ? yam' ��3 DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER