HomeMy WebLinkAboutDrain Layers Permit 301 Evergreen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7775 Contra�:ta "' 1�}TSA1 .TI CONSTRUCTION
Location 30*i% 5tV,"vAr Address. a Fa, 0 P9$T,Q.FF1QE RD
Type Work NEW SAN LAT " EWFI RD" ,C' 06 `8;2
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Permit No. 7776 Town of South Windsor, CT
Permit Date 07/12/2004 Drain Layer Permit
Expiration Date 08/11/2004
Descrip:
Applicant Ldmation
Name SPAZZARINI CONSTRUTO €� 3F3I $VEIGRF;EN WAY
Addr. 50 POST OFFICE RD ' Ei 7Of1C, & t�IC$WFZJ. IESTYLE CENTER
WK
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ENFIELD, CT 06p82usr A
Phone No. (860)745-5693 ^"
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The Drain Layer assa;gned.th s permit h � valid ZxS�31.s issubd by the
state and hereby a `re s< Cd:..--,`h:7:"`t' :,A":.'; a` €:, w ditiotee` i"OYtb in the
n ,. . ..y3, .. .<-`E. . '•' " oo j T p f South
hattached Conditi
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Windsor standards, a'>1I;:i?SH 5 egt .x':Ye 2 t . ut ::a:,::.aA _._;.::khay;:a ,t'a` '11ac1 'OM4 tions.
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Issued By -- f�`"" T� � ✓� ----------------
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
' PUBLIC WORKS DEPARTMENT
TOWN HALL
154.0 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
304
Location of proposed work:_i6 &Al`,�� F s
Street No. Street Name
Premises owned by: ffi
Ce
Name of Firm: x'CJ. rrrUr`, . �3.
. Phone: i t6- -
Address.of Firm: 6D PnS
� d
.TYPE OF WORK:
Lay House Drain_________; Repair House Drain
Lay Main i� Ilff ; Lay Lateralfor Commercial/Industrlal
Building of __ acres
Connection will be made with f};r
Existing Water Supply: Public Water `_ Well
Proposed Start Date ( tf Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARD
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT S,
Permit is to be issued to Edt-onrc(, 5P,22-2 �f ;Fes,t
Layer.'s License No. , � the holder of Drain
. Only holders of P-1C�or W-9 licenses
will be issued a permit. PERMIT MILL 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 rece
Town Street Excavation Permit No. ived
and/or ConnDOT Permit No.
CBYD No. C�o Z
Signed: Print Name:
--- - --- tLicen ain LayerSiDate: _ ----- -
---_- - -- --
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Standard Forms\Pernits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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