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Drain Layers Permit 204 Garden Circle
TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7344 Contractor R.J . FIJOL INC Location 0204 GARDEN CIRCLE Address PO BOX 296 Type Work NEW SAN LAT 600 OLD WEST WARREN RD W. WARREN MA 01092 0hcf6e 'No. (413)436-5674 Date Insp Needed Qate= Insp., Time Insp Needed fimensp � Inspected. By I i Work in Progress 1 r i i i i 3 Input (wv Date Perrri%t hb. 7344 Town of South Windsor, CT PermitDa1;e 10/29/2001 Drain Layer Permit Expirat 6- Date 11/28/2001 Descrip: CK 1486 FOR 4PERMITS FEE & SEWER USER Applicant Location Name R..i . FTJOL INC Adgr.,r02Q4 GARDEN CIRCLE Addr. PO 80X 296 -'t tner'' SOUTH WINDSOR ESTATES LLC 600 OLD WEST WARREN RD W. WARREN MA14 Phone No. (413)436-5674 .s The Drain Layer ase i gh d =th 1 s permf t `has yall c3 license issued by the state and hereby agrebp— ttz 1 1. 'th4 t0 n8, . nd coo-di tions set forth i n the attached 'Conditions' A1t k shai_� be ti n a11 c��adan with Town of South Windsor standards, a1rgtrt0" and y1;he attached conditions . Issued By T i7 Date Inspected Inspected By a 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 proposed work: ©l/' ��v��ll� CGLCCL Lot # Street No. Street Name Premises owned by: Ckc-'4TI U<5. 1)tyE-L0f�� S Name of Firm: ZL>.j . 30 L Phone: Address of Firm: 600 tlz/ — 2&,k-1 L t92 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 41� Well Proposed Start Date!0 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 �h� y the holder of Drain Layer's License No. V022 , 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. CBYD No, Si 9 ned:��2 %� Print Name: Licensed Drain Layer Dat C c e D/, o Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc-