HomeMy WebLinkAboutDrain Layers Permit 304 Garden Circle i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8011 Contractor COVEN UONSTRUCTION CO.
Location 0`304� L� Address P O 7..
Type Work NEW SAN LAT CnVENTRY OT 0.623,8
Phone ::No (80�2'82 '0526
Date Insp Needed `Datex�sp
Time Insp Needed Tx me: _
Inspected BY �-
Work in Progress -_= Q + 3�
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Town of South Windsor, CT
Permit No. 8011
Drain Layer Permit
Permit Date 12/06/2005
Expiration Date 01/05/2006
Descrip:
Lodation
Applicant
Name COVEN CONSTRUCTION "CO
��� 0�04 CiARpEf7 CTHCLE �
Addr. P.O. BOX 427 fwii $OUTf V7iNbSQR ESTATES LLC
COVENTRY C-T 06A38 �!
Phone No. (860)282-0526
The Drain Layer assigned th#s permit has valid license issued by the
state and hereby agse:e>s to all they sntxxritioals Se-:torCh in the
attached 'ConditionS'.. .A11 WGkrk sh' 71 bd<: a ac.ctrdne,x-lw?th -Tows of South
Windsor standards a7l;;:L7SHA eui :eta? end. tie attached conditions.
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Issued BY --� --4
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Date Inspected ---------------- j
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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 $60.00
30q
Location of proposed work: �h Lot #
Street No. Street Name
Premises owned by:
Name of Firm: U i\
Phone: 07C
Address.of Firm: O \2v,�- �
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral-for Commercial/Industrial
Building of acres
Connection will be made with A v
Existing Water Supply: Public Water Well
Proposed Start Date 1 a3 Estimated.time for completion Jo
ALL WORK TO BE IN AC ORDANCE WITH'TOWN OF SOUTH WINDSO STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to c &CWV/L1jthp holder of Drain
Layer's License No. D-7 CA b Only holders of P-1, or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY (30)VAYS 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.
Signed: Print Name: l coUCoif
I yu
Date: b
Standard Forms\Pe mits\APP CATION FOR DRAIN LAYERS PERM1T.doc
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