HomeMy WebLinkAboutDrain Layers Permit 201 Garden Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7341
Location 0201 GARDEN CIRCLE Contractor R.J . FIJOL INC
Address
Type Work NEW SAN LAT PO BOX 296
600 OLD WEST WARREN RD
W. WARREN MA 01092
Norte ,No. (413)436-5674
Date Insp Needed
:Rate, Insp,
Time Insp Needed
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Inspected By
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Work in Progress
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Input __ Date
Permit No. 7341 Town of South Windsor, CT �
Permit Date 10/29/2001 Drain Layer Permit
Expiration Date 11/28/2001 1
Descrip: CK 1486 FOR 4PERMITS FEE & SEWER USER
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Applicant Location
Name R.J . FIJOL INC Addr. 0201 GARDEN CIRCLE
Addr. PO BOX 296 Owner` SOUTH WINDSOR ESTATES LLC
600 OLD WEST WARREN Rb ,.
W. WARREN MA 0104
Phone No. (413)436-5674
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The Drain Layer assf hod th 't pe.rmf t has a val id license issued by the
state and hereby agree td;'011 'thy 'terms_ and cOhdit'ions set forth in the
attached 'Conditions' A 1 1_ work shal l :'be, �n acco rdance' with Town of South
Windsor standards, all OSHA'."requir7ements, and s attached conditions.
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Issued By Title
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Date Inspected "Inspec.teo BY
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APPLICATION FOR DRAIN LAYER PERMIT 7
TOWN OF SOUTH WINDSOR
y PUBLIC WORKS DEPARTMENT
a TOWN FALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
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L Location of proposed work: d U / / ca-- ,�-Lot #
Street No. Street Name
Premises owned by: 0,��g1TVC—
Name of Firm:� Phone:
Address of Firm: 6GO O'Ll
45-5 T jrJ/�-202 / /yl el-s S O/O �-
TYPE OF WORK:
Lay House Drain_ ; Repair House Drain
Lay Main �+' ; Lay Lateral for Commercial/Industrial
Building of acres
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Connection will be made with P Y
Existing Water Supply: Public Water Well
Proposed Start Date 1 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. o2EZ7 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.
s,
CBYD No.
Signed: Print Name:
Licensed Drain Layer
Date: ` d
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc