HomeMy WebLinkAboutDrain Layers Permit 300 Evergreen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. x; 77 Contra"t3�'S`IrAZZAR'Ik)z CONSTRUCTION
Location 3 Addres ;f x&; 0 PC;$PzgkF'ICE RD
Type Work NEW SAN LATm ' EFIET D <.C. 060`8:2
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Permit No. 7773 Town of South Windsor, CT
Permit Date 07/12/2004
Drain Layer Permit
Expiration Date 08/11/2004
Descrip: INSTALL SANIT. LAT n20' ?:�yLDGL,,;,.,,;:
Applicant a%<::5 "` '.
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Name SPAZZARINI CONSTRFUCTT.0Nr
Addr. 50 POST OFFICE RJR A..
:�r,•:`ry < .•.k,;? .�..�',,.':;;�; ,QAG &.,,44-C .+.1] LIFE�TYLE CENTER
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ENFIELD, ; C11 flfrb$2 {
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Phone (860)745 56$3 eO
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The
d ti s px3c� s , ] ense rsued by the
state and hereby agrees to ail 'fhe ter and conc�iio set_::,.orCh in the
attach ,". . .;>.:;<�':`:;:�>>.�y�r<<tx s,:,::<>>: .::: .ed Conditions ."`All WoY sl�alls00
pgdance iw tkt Totafn of South
Windsor standards,
attacY�e.d<;:_: oriditions.
Issued /A\'^V•
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Date Inspected """•'„'"""''�
_____________________ Inspected By
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: 161 BuceIond 5-i ud hj< SoaA Lot #
Street No. Street Name
Premises owned by: Pon a + Mc Ewen L i { ,S� l CM hr-K
Name of Firm:-- 1 Z (Cor)i Co. lfx Phone: 7y6 y 5('0
Address.of Firm:_ Q PoS4 &
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TYPE OF WORK:
Lay House Drain ; Repair House Drain
La Main -5 'y ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with V(,
Existing Water Supply: Public Water Well
Proposed Start Date (0/1-6
Estimated time for completion rj
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 00 r the holder of Drain
Layer's License No. 7-713`7;3 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.
Signed: _ _ Print Name: Et c&°n� .
Sa�'��z fE v-lt
Licens ain Layer
---Date,
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Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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