HomeMy WebLinkAboutDrain Layers Permit 565 Foster Street TOWN OF SOUTH WINDSOR INSPECTION REPORT I
Permit No 75
Contractor GERBER CONSTRUCTION CO
Location :- `6T T Address 616 DART HILL ROAD
Type Work SAN MAIN VERNON CT 06066
No. (860)875-6684
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Inspected By
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Town of South Windsor, CT
Permit N'o. 7504
Permit ;Date 09/16/2002 Drain Layer Permit
Expiration Date 10/16/2002
Descrip: TOWN JOB NO FEES
Applicant Location
Name GERBER CONSTRUCTION dri. 5 FOSTER ST
Addr. 616 DART HILL ROAD
VERNON C
Phone No. (860)875-668
The Drain Layer i as icense issued by the
state:-and hereby ag e 1 and ns set forth in the
attached 'Conditions '�4 e with Town of South
Windsor standards, a quir t a ached conditions.
Issued By
00
Date Inspected type By
756Y
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of work: a, (� �4
proposed Lot #
-�Stt-reeet No. S eet Na/me,
Premises owned by:
Name of Firm: (�� �"- r .l,�,w Phone: �� ao(_
Address of Firm: 004 ��// � /VrL✓
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water v Well
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTA HED TO THE PERMIT
Permit is to be issued to h - �.. the holder of Drain
& L
Layer's License No. /2.2 z r S-tlf Z . Only holders of P1 or P7 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.
-- g - - - - - Print-Name: -
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc