HomeMy WebLinkAboutDrain Layers Permit Gilbert Lane Permit No. 7162 Town of South Windsor, CT
Permit Date 07/06/2000 Drain Layer Permit
Expiration Date 08/05/2000
Descrip: DEMING HILL PHASE 3A&B
Applicant Location .
Name J & H SLATER CONST CO Addr.. GILBERT LN
Addr. 75 COMMERCE WAY pwna
SOUTH WINDSOR CT 06074£
?hone No. (860)528-52521'
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The Drain Layer ass gtled phi s leer ri9'r t has a vat d .1 cense i ssued by the
state and hereby agrees :_tc '[�I tl�� f "< ndorriiatios set forth in the
attached 'Conditions'#. A 1 1 work h�t,11 b+� , i:n accar;ciance with Town of South
Windsor standards, al =t§4* .`raga remettt's arid, ithe ,attached conditions.
[ssued By
)ate Inspected , 7,iv`o� To 7�171 a Znspected' 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 proposed work:
Street No. Street Name
Premises owned by: ,
Name of Firm: I I -rC LQC��kPhone:
Address of Firm: 28!3� 1k) nT Durr4 W10'T6 0-
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made withV�
Existing Water Supply: Public Water_ Well
Proposed Start Date -LA-00 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. *o'?' 4j 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 E c v�ation Permit No. and/or ConnDOT Permit No.
CBYD No.
Signe Print Name:-_d4acs
Licensed Drain Layer
Date: �-- -Zp
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc