HomeMy WebLinkAboutDrain Layers Permit 15 Farmbrook Lane l
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Permit No. 6550 Town of South Windsor, CT
Permit Date 03/21 /1997 Drain Layer Permit
Expiration Date 04/20/ 4997
Descrip -L_CT 2 FARMBROOK CK2168 #15&66
Applicant Location
Name YANCEY Addr., tJ015- FARM. BROOK LANE
Addr 27 R COMMERCE STREET :Own er" LAC'
CONSTRUCT-ION COMPANY
GLASTONBURY CT :0603 g a
Phone No. (860 )633--0423 ="
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The Drain Layer assigned this permithas a ya,J 1`itense issued by the
state and hereby agrees t4 ,ss?ti � the r`ms.'And (: odd t.it n set forth in the
attached 'Conditions ' . A 1,l work ha j be;; i n acceirdance with Town of South
Windsor standards , all 0SHA requirements, and tie attached conditions . j
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Issued By _ _-, _ T'tt)0 _. .- el_. .-- `� - -
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Date Inspected - _ _. .__ �
p __.S�-Z_-_�.�'_ � Inspected By
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Perm'i t Na. 6560 Contractor YANCEY
Location 0015 FARM BROOK LANE Address 27 K COMMERCE STREET
T-vpe rWork. NEW SAN LAT La7 Z GLASTONBURY CT 06033
Phone Nc�. { Es60 )l 3a -0423
Date I i �r sp Needed � __ U�te "insp=:
Time I nsp Needed Time Z nsp;. 1
Inspected By
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Work in Progress
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Input-_ �. _ _ Date =-=. ---
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25 00
Location of proposed work: Lot # 49—
Street No. Street Name
Premises owned by:
Name of Firm: , Y Phone: 9Wr,:5,,53 0�,�3
Address of Firm: '
TYPE OF WORD.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with �C
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 toT� /',v� j d, the holder of Drain
layer's License No. Only holders of Pl, P7 & 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.
Signed: - Print Name
Licensed in Layer
Date: