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HomeMy WebLinkAboutDrain Layers Permit 523 Foster Street ;MOWN OF SOUTH WINDSOR INSPECTION REPORT ry Permit No. , 6703 Contractor SKIPS SEPTIC Ldcion 0523-FOSTER STREET Address 27 MUDDY BROOK ROAD Type Work NEW SAN LAT ELLINGTON CT 06029 No. (860 )875-2332 Date I nsp Needed �r t ns Time Insp Needed ' ¢{_:< J Inspected By T — Work in Progress IN � - r r r, ` 4 Date -f0 -/4/-q�) Permit No. 6703 Town of South Windsor, CT Permit Date 10/01/1997 Drain Layer Permit Expiration Date 10/31/1997 IDescrip: Applicant Location Name SKIPS SEPTIC Aaq!-. 3 FOSTER STREET Addr. 27 MUDDY BROOK ROADr ( E? LEZ RAFAEL A & SANDRA (SUR ELLINGTON CT Phone No. (860)875-2332 , J � The Drain Layer as ' i p license issued by the state and hereby agre ,- t r nd set forth in the - attached 'Cond4-tiens' -� s n a with Town of South - --- Windsor standards al W d k ched conditions. ' , vfi QINAV :. Issued B y z < a Date I nsp ed Or JI 1 APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENTTO WN ?6_3 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed worker 3 Fos—,,rR— S ice" Lot # Street No. Street Name Premises owned by: 6o Nz44- Name of Firm: "t (PS SCP-nC -516X vic C- Phone: S 02-3 3.-- Address of Firm: v7 7 N u l)i)v 6 /V r�j TYPE OF WORK: Lay House Drain Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres r Connection will be made with C PVC- 3 Proposed Start Date Estimated time for completion /0 3 ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT C 13(/7) -1—' o 02 7 4- Permit is to be issued to -7 7k F�� /Z- I�j�� 56 ' " tTie holder of Drain layer's License No. ao ?,7,2; . 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 /77M& k,4Zk elt V tz- Lice ed Drai Layer Date: f� t To help locate your sewer connection on.the main line, please show where you would like the connection by drawing a line From the house or, the septic tank to the main line in the street. Also, install stake in yard to indicate line as shown on sketch. IF.you have any doubt please contact the Town Engineering" Department. Please draw important information such as driveways, large trees an,j Other obstructions. PLEASE MAIL THIS FOR;V1 IMM DIAT`.LY TO-: JA/V1L--=S S. NiINGES & ASSOC. , INC. The Exchange- Farmington Avenue Farmington, Connecticut 06032 { if 4