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HomeMy WebLinkAboutDrain Layers Permit 814 Evergreen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT 4 Permit No. 8022 Contractor SPAZZARINI CONSTRUCTION Location 814 EVERGREEN WAY Address 50 POST OFFICE RD Type Work NEW SAN LAT ENFIELD, CT 06082 Phone No. (860)745-5683 Date Insp Needed v / Date Insp._ ����(si Time Insp Needed ------------------- Time Insp. _ / ' ® �►1______ Inspected By Jt i Work in Progress _ 1 �__ nc.�l��L__�g= ('`✓� �13 pr4 3`S —�r�.r!__STKIo--GK,G�•y�'Ci--��--�It'Cit��(S,1 — ��^S'�—tl��— �J�.r�@i�t� _( Input .... ____ Date Permit No. 8022 Town of South Windsor, CT Layer Permit La Permit Date 02/06/2006 Drainy Expiration Date 03/08/2006 Descrip: INSTALL LATERAL FOR #814 & 806 Applicant Location Name SPAZZARINI CONSTRUCTION Addr. 814 EVERGREEN WAY i Addr. 50 POST OFFICE RD Owner POAG & MCEWEN ENFIELD, CT 06082 Phone No. (860)745-5683 i The Drain Layer assigned this permit has a valid license issued by the state and hereby agrees to all the terms and conditions set forth in the attached 'Conditions' . All work shall be in accordance with Town of South Windsor standards, all OSHA requirements, and the attached conditions. Title Issued By ......-- ------- — ----J----------------------- Date Inspected --------------------- Inspected By i i I 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: l Street No. ` `' Lot# P Street Name Premises owned by: (?Pat." Name of firm.' Phone: e Address.of Firm: 490 RgV e TYPE OF WORK: Lay House Drain Repair House Drain Lay Main • Lay Lateral-for Commercial/Industrial ; Building of acres Connection will be made with Existing Water Supply: Public Water Well --=-__— Proposed Start Date Esstimated time for completion - ALL WORK TO BE IN ACCORDANCE WITH'TOWN OF SOUTH WINDSOR STAND ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT ARDS� Permit-is to be issued to Layer's License No. A? 3 the holder of Drain Will be issued.a Only holders of P-1, P-7 or W-9 licenses permit. PERMIT WILL EXPIRE THIRTY(30),DAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and conditions-set i forth in the permit and attached thereto. Applicant has rece Town Street Excavation Permit No. ved and/or ConnDOT Permit No. CBYD No. Signed: Print Name: P &4,r„s,,r Licensed rain Layer Date: o standard ForMAPermits\APPLICATION FOR DRAIN LAYERS PERMrr.doc M. TD � 1 / � 1 1 1 • WAD INN F1 1 ■■■■■ ■ ■■ Ke ■� ■ ■ ■e ■■ ■ ■ ■ � ,ter ■ ■■■' Nq ■ � � _ ..�. swami E�1 I■ ■��' ■ . 11. e • • f 1, / fill ! / i