HomeMy WebLinkAboutDrain Layers Permit Garden Circle at Ple TOWN OF SOUTH W1NDSOR INSPECTION REPORT
Permit No. 7164 Contractor R . J . FIJOL INC
Location GARDEN ;CIRCLE PLEASANT VALLE-YAddress PO BOX 296 Y:
Type Work SAN MAIN 600 OLD WEST WARREN 'RD
W. WARREN MA 01092
Phone No,. (413 )463-5674
Date Insp Needed •7i f� 7
t'1 Date Insp
Time Insp Needed G'-`-'� - -- Time` has ------__.�.------
Ins petted By
Work in Progress
Input Date
Permit No. % 164 Town of Soutn Windsor , CT
Permit Date 07110/2000 Drain i_ayer Permit.
E x p i rat i on Datec8yZ_gKLOb 2�
Deacrip; MAIN LINE SEWER FOR PLEASANT MEADOWS SRD
Applicant -, Location
Name R. J . F1.JOL INC Addr, GARDEN CIRCLE 0 PLEASANT VAL-LEY
Addr . PO BOX 296 Owner
600 OLD WEST WARREN RD,
W. ,BARREN MA 01092:
Phone No. (413)463-5674
The Drain. Layer ass fined th'i`s permit has a Valid license issued by the
state and Hereby agrees to all the terms and con-ditions set forth -in the
attached 'Cord�itions '_ till ,work shal -i b® in accordance with Town of South
Windsor standards, all OSHA requireme'nts, and the attached conditions.
issued By _ Ti`t7e �"'
Late Inspectedll ----------._-,_ - -- -- _ _ Inspected By
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT 6
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
5�
Location of proposed work: Pt ( t h Lot #
Street No. Street Name
Premises owned by:
Name of Firm: c7 \ Phone: �—� 671
Address of Firm: on
v -
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with �h�G
Existing Water Supply: Public Water Well
Proposed Start Date 7 r fQ 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 L etcX?h CS the holder of Drain
Layer's License No. 7.cD?7 . 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. nd/or ConnDOT Permit No.
CBYD No.
Signed:Q
uAA � Print Name: „
Licensed Drain Layer
Date: 7- -Do ,
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc