HomeMy WebLinkAboutDrain Layers Permit 401 Evergreen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
r
Permit No, 7769 Con tj&.&.a `bfr -Tg—ft'ARLNI CONSTRUCTION
Location 401 EVARQRZEN WAY Ad es ; %a:50 PQT fQFFTC9 RD
Type Work NEW SAN LAT ? ETFIELDy< GTE 0�082
p 0 lw-"1 o (8 j745 .56 3" 4,
Dat
e Inp Needed
s
x..
"..D` r
Time In
s Needed -
Inspected
B
as
"V
Work in Progress
itf'
�.r.
r b& e
I
h
Permit No. 7769 Town of South Windsor, CT
Permit Date 07/12/2004 Drain Layer Permit
Expiration Date 08/11/2004
Descrip: INSTALL SANIT. LATERAf':,Tdi LM. .
Applicant
f4. ,s:•:<::., %:. Lo. dMM
't%:on
.r:.,..... ''
Name PAZ
t,.
S ZARINI CONS
Addr. 50 POST OFFICE 10 qQMh POAG &y` GFWE'�1 'I IFEETYLE CENTER I
ENFIELD, GT 00082
Phone No. (860) 745-561-,B3''aIN
::<»'
2 'a
r'
f:
.:Hi.
`4PytW
is .<"s:..
i
�ed b
The
Drain LY r
9 �` :�4'7i: h "i�. L :��h's:� �a:::r,.� the
a
state and hereby agriee 'to `,the tsRnd c6�di0ix sit- forCh in the
attached 'Conditions E 'AI1`:;wor 'its'Y ' ' Tovn of South
al �s tWindsor standards, FA Xe uir <
, e attached Gbn" itions.
4'
J �
Issued By JZA/A-------- ------- a w TY k l L'�
Date Inspected --------------------- Insp�'�t'e'd'"By
APPLICATION FOR DRAIN LAYER PERMIT 7-7 6 9
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
4col Fv6g6'( w WI►�
Location of proposed work: 161 6uc l(ond S. I. buy(dihc Lot #
Street No. Street Name J
Premises owned by: Pon MG E -en- L t 1-nS u(e C en Fe-K
Name of Firm: 1Zz00n' t' CO. -TnC Phone: 7�6- 5( 3
Address.of Firm: '5D J)6S-t �6 Pd En t-?Jrt - K71 � ;, 7-
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main -5ew-e( ; Lay lateral for Commercial/Industrial
Building of acres
Connection will be made with b" PV6
Existing Water Supply: Public Water y/ Well
Proposed Start Date e if Estimated time for completion (,.I
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 Ed cja rrL 5 CQ2-ZW i n i the holder of Drain
Layer's License Noj 2-7 73-3 Only holders of P-1�P-J�., or W-9 licenses
will be issued a permit. PERMtIT 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. ZC�(��-12(r�ttZ3
Signed: Print Name: SFYjZZ0(t n
Linen rain Layer
--- — ---- Date: 71Z/w 71
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
■■■ ■ ■ •. �rrr■ EJ.�► ■■f■■ ■
■■■■ - ■ MEN ■ ■
■■■ ■ ■ ■■ ■ ■■■■■■■
r
r r r• r r r• .