HomeMy WebLinkAboutDrain Layers Permit 26 French LaneJ
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7104 Contractor IMPERIAL PLUMBING CO. , INC.
Location 0026 FRENCH LANE Address 981 SULLIVAN AVE. ''
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
ph-
obe No. (860)289-6816
Date Insp Needed d r Da e: .�nso.. 11:7, 9`!
Time Insp Needed Time Insp`
Inspected By
Work in Progress PiKll�l zX° (tj5— (reP wf s; -- tics , - bAc�FrGI
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Input Date g/7,3155�
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Perrot No. 7 104 Town of South Windsor, CT
Permit Date 12/22/1999 Drain Layer Permit
---Exoi ration Date 01/21/2000
bescrip! LOT 44 CK9731 775 .00 CK9732 97 . 50 I
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Applicant Location
Name IMPERIAL PLUMBING CO. , ,,Ifi1C. Addr. 0026 FRENCH LANE
Addr. 981 SULLIVAN AVE. ei.,C LARK REALTY INC
SOUTH WINDSOR CT
Phone No. (860)289-6816 "r
The Drain Layer assigrxeb this per � ;has `=a bra=l i cl license issued by the
state and hereby agrees to ; 1 the tirm ._ and cbnrfitios set forth in the
attached 'Conditions'_. 11 Wt�1^k, sh ;l ' Yb n apr.1# nce with Town of South
Windsor standards, a 1 1;'`0$1 , ' ceO4 � nt r ' and t�i� �lrtached conditions.
Issued By 4
Date Inspected .. Inspe�iAd ,By _
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of work: 2- �C Z"(NQ ) t-�`��
proposed Lot
Street No. Street Name
Premises owned by: C 3s
Name of Firm: Z n A C Phone: -U`:�—q 3
Address of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with b
Proposed Start Date L2 2� 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 the holder of Drain
Layer's License No. Zy 3S 4,R . 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: -- 4� e �r► Print Name:
Licensed Drain Layer
Date: O111
Standard Forms\Permit5\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: tc-,e-/Y) 10 t r �� 9
BUILDING ADDRESS
STREET Lal
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF ONTRACTOR'S SUPERVIS (PRINT)
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STREET ADDRESS SIG URE
e�..a'SID )Z Zz c�c� DATE
TOWN STATE ZIP �-- INSPECIO BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET N
SUBDIVISION: Or 'o )Jn o /ji l/ c- -rr&
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT)
7r" eln,rr7.0yce- �� y 6 -
STREET ADDRESS SIGNATURf
X 0 Ut &0 J) c/1 DIY r O i o 7 5e DATE
TOWN STATE ZIP INSPECTED BY TOWN
5-2 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER