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HomeMy WebLinkAboutDrain Layers Permit 26 Farm Brook Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6642 Contractor YANCEY Location 0026 FARM BROOK LANE Address 27 R COMMERCE STREET Type Work NEW SAN LAT GLASTONBURY CT 06033 'Phone No. (860)633-0423 l ,q, - � Date Insp Needed '7/ ,11 at , Insp 30 Time Insp Needed T1me nSp '�-tts Inspected By Work in Progress l�E,t7�-. � i�b� ���� Y�/Aoil !� ok .� Inpu c�4s Date /O Permit No. 6642 Town of South Windsor, CT Permit -Date 07/10/1997 Drain Layer Permit Expijation Date 08/09/1997 Descrxp: CONN CHARGE PAID #4757 Applicant Location Name YANCEY Addr. _0026 FARM BROOK LANE Addr . 27 R COMMERCE STREET ,_,Owner LACAVA CONSTRUCTION COMPANY GLASTONBURY CT QfiO Phone No. (860 )633-0423 ' The Drain Layer ass i gned th=i& pet mft 'has vai f d 1 i tense issued by the state and hereby agrees: to_al the `t+erms''and set forth in the attached 'Conditions' A 1 + a sha l I '.E�e, °gin aoc�tdane with Town of South Windsor stand4,rds, al OSHX requiremeiite, and the attached conditions. << 1* _. Issued By Date Insped _��� 47 Inspected By. APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR - PUBLIC WORKS DEPARTMENT' 6 �iz TOWN HALL � 1540 SULLIVAN AVENUE SOUTH WI2ITDSOR, CT FEE$25.00 Location of proposed work: A. rolo/< Lot # v�0 Street No. Street Name Premises owned by: ,ei9Cfi tW won.S� Name of Firm: Owev z1-0Y,0 Phone: ." -o y Address of Firm: � c P)A r TYPE OF WORK: Lay House Drain _; Repair House Drain Lay Main Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Proposed Start Date // Estimated time for completion 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 �/7ce r the holder of Drain layer's License No. Qo2od'�/ Only holders of P1,(P) W9 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. y?72- gO® 0.2 0. Signed: Print Name e-0 Licensed t Layer Da /© jr'