HomeMy WebLinkAboutDrain Layers Permit 66 Farm Brook Lane OWN OF SOUTH WlIVG_uR INSPECTICi�e RLFOR
Permit No. 6531 Contractor YANCE"i'
Location 0066 F ARtA BROOK LANE Nadi ess 27 R COMMERCE STREET
Type Wor-f; NEW SAN LAT oT- /6 GLASTON13JRY C11 06C33
Phone` No. (360 )633-0423
Gate I asp Needed j0z Date
T irlre Insp Neededd �
Inspected By
Wort: in Progress �_o
I
it-IPUt Date 12rf��7
Permit No. 6581 Town of South Windsor, CT
Permit Date 03/21/1997 Drain Layer Permit
Expiration Date 04/20/1997
Descri OT 16� RMBROOK CK2168 #15&66
Applicant Location
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Name YANCEY � � 1 �Y, 06 FARM BROOK LANE
Addr. 27 R COMMERCE STREET i"' bCONSTRUCTION COMPANY
t ( v
GLASTONBURY CT J06D4 t` � F
Phone No. (860)633-0423 F '
s a The Drain Layer as 4_nll
�s � v� iense issued by the
state and hereby agre a, i� � d c ?� set forth in the
'Conditions' �. L
attached Conditions A 11i�;kTP
4aca> with Town of South
VIOndsor standards, al l k}oW f e) t1r+ � , � t 1 ched conditions.
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f aE� f
Issued By �-
Av
IL
Date Inspected 1z Ate: , s p By
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVANAVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: ;5�' a r r ao fo Lot #
Street No. Street Name
Premises owned by: .7-
Name of Firm: Aiiaa-�l e.�ra Phone: W6 ,53 oyp- 3
Address of Firrn: �� o„ „ ��j Y�
TYPE OF WORK.,
Lay House Drain _; Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 4eo ye-
Proposed Start Date 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. 7YIOncey �yoy F the holder of Drain
layer's License No. 0oaoG9'/ �Y . Only holders of P1, 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 Dra Layer
Date: Sf///, `