HomeMy WebLinkAboutDrain Layers Permit 201 Evergreen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contr,.Azt`25r"SPA,Z'AR Z CONSTRUCTION
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Permit No. 7768 Town of South Windsor, CT
Permit Date 07/12/2004
> Drain Layer Permit
Expiration Date 08/11/2004
Descrip: INSTALL SANIT. LAT :-.ff
$ 3�IiO:-FLDG,n.:yy<.>:c'»>:<,:.>:.
APp licant `.
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Name SPAZZARINI CONSTi'UCP Old « 3
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Addr. 50 POST OFFICE R,D r �a`-, "
y OAG 'CEWE�T LIFESTYLE CENTER
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ENFIELD, 0608 y� fi7
Phone No. 860 7 -
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The Drain Layer 4ssine�1 Cis 3g �� s, ene .i � :ed by the
state and hereby agreesta a4.11- the terms, and CCone io S set- pr:Lh in the
attached Conditions All work sha11;>".""';;: Tyre �t1th Toxion of South
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Windsor standards, alh<. OS A r
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APPLICATION FOR DRAIN LAYER PERMIT ��68
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
154.0 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: P5/ Bu(Nond Si. 3udd i jan 200 Lot #
Street No. Street Name
Premises owned by: Pon M6 Eu} n L-66Ue Cfa f-- K
Name of Firm: Z7_Q(rn r° Nn:2Y d- CO, -IfIC ° Phone: 711 - 503
Address.of Firm: 6Q PoSA ��6 Pd. Er7Tl -16tl (a7 01„6g2
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main .sew- f ; Lay Lateraf for Commercial/Industrial
Building of acres
Connection will be made with b j' 19V6
Existing Water Supply: Public Water V/ Well
Proposed Start Date fe t — Estimated time for completion dQu
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 _ ErJ(,L)0 rrJ. 5 w2_zcj t i n i the holder of Drain
Layer's License No. 27 1733 Only holders of P-U�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. ZQQJ42Ca007_3,S
------- _—-Signed: ,
Print Name:����rt.� --
-LicenAf,.elrain Layer
ate:—- - - _--- _-- �.. -
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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