HomeMy WebLinkAboutDrain Layers Permit 35 Farm Brook Lane -----------------------
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 64931, Contractor YANCEY
Location 0035 FARM BROOK LANE Address 27 R COMMERCE STREET
Type Work NEW SAN LAT GLASTONBURY CT 06033
Phone No. ( 860 )633--0423
Date Insp Needed '
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permit No. 6493 Town of South Windsor, CT
'ermit Date 10/15/1996
xpiration Date 11/14/1996. Drain Layer Permit
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Applicant Location
lame YANCEY A �. 3035 FARM BROOKLANE
,ddr. 27 R COMMERCE STREET, C vYrV;t LA0AVk„CONSTRUCTION COMPANY
GLASTONBURY CT 06033 '
'hone No. (860)633-0423
The Drain Layer assigned this permit has a 41',jd license issued by the
state and hereby agreas , i the rme and C.6hditiuns set forth in the attached 'Conditions ' .,, shaI-A �e � a cprdanc0 with Town of South
Windsor standards , a 1 1 ..QS+�A:`requ i r�amet art�i ;the ,attached conditions.
slued By
ate Inspected Inspected By
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 .V,� zY 0 La/k Lot #
Street No. Street Name
Premises owned by: /yc/ 1)4, l` ►
Name of Firm:en Y-4 Phone: 9l o
Address of Firm: Z 7 R f 4 rnyn e rce Sf / :rr ,•� .
TYPE OF WORK.
Lay House Drain Repair House Drain
Lay Main Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with 1-2 G>C
Proposed Start Date/0 / 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 = ,4�r the holder of Drain
layer's License-No. Only holders of P1, & 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 Drain Layer
Date: