HomeMy WebLinkAboutDrain Layers Permit 477 Foster Street ti
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Prsmit' No.. 8073 Contra•e't'o.r STI` Xi82-OCIATES, INC. , DAY INC.
Location Aridressst `>;!C/O_D:7LY; TI`;'<>:;LLC.
Type Work NEW SAN LAT R,.;q,._ BO'X> :'. 7
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Date Insp Neededf.+__
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Permit No. 8073 Town of South Windsor, CT
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Permit Date 07/26/2006 "" Drain Layer Permit �
Expiration Date 08/25/2006
Descrip: INSTALL SEWER LATERAI:f
Applicant PP LQ'C .
Qcat` ;on
Name STI ASSOCIATES INC ' DAY INC €dr 0477 FOSTER STREET
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Addr. C/O DAY-STI, LLC: deer JUKNIS -TtILIA.A' L/U:; ET AL
P.O. BOX 797
VERNON CT .06{766
Phone No. (508)943-4L04..:;`
.40
The Drain Layer assigned t %IsI hAs trl id ] aenso a ps�ted by the #
state and hereby agrees< to a1 the terms asid cztditt�xz ;':`S. t forth in the
attache
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d Conditions : :All�<:.zJa ``:`s37a'�:' %<_' <.< •::: A;;�:,;::>;;;:>;;:;:.:•.
T: 3�� s,n,.,.��rrrdanee :vw: t,�i Town of South
Windsor standards, alb OS$A e attaphed cori'ditions.
_
Issued By --- F— � — fiitle
Date Inspected
go�3
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUB-LIC--WO-Rf«DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: ? ' f.� S
Street No. Lot #_______
Street Name
Premises owned by: P FQ 0 y -71Z'6,/alm
Name of Firm: S t Lc c
Phone: eos�,.
Address.of Finn: v X 2q-7 1/ �2
TYPE OF WORK:
Lay House Drain "Lay Main Repair House Drain
. i ; Lay Lateral-for Commercial/Industrial
Building of acres
Connection will be made with G 1` lop.c
Existing Water Supply: Public Water___ Well
Proposed Start Date W 1/vG Estimated time for completion rd c(C-,ys
ALL WORK TO BE IN ACCORDANCE WITH_TOWN OF SOUTH WINDSOR S'TANDA
ALL OSHA.REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT RDS,
Permit-is to be issued to
Layer's License No. A p L o the holder of Drain
Will be issued.a -T WILL EXPIRE THIRTY(30)`DAYS------• Only holders of P-1, P-7 or W- licenses
permit. PERMI 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.
CBYD No. 9 0 0
_- Signed: o� G �0 3
Print Name:_ E(j 12!_e.c �laS
Licensed Drain Layer
Date: 7 2Ylol- a
Standard Forms\Permlts\APPLIGAIION FOR DRAIN LAYERS PERWT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : 4.77
STREET . �f 1ST►- s -� .
M SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
Po 0G i `7 f7
STREET ADDRESS SIGNATURE
V it-Izc-[o*{ p60`G DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK CONTRACTOR YELLOW CONSULTING ENGINEER j DEVELOPER
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