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HomeMy WebLinkAboutDrain Layers Permit 35 Gilbert Lane i TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7017 Contractor JMJ CONSTRUCTION CO. Location 0035 GILBERT LANE Address 658 ELLINGTON ROAD Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 Phone No. (860)528-7889 Date Insp Needed Zl::;;` Pate Jns- Time Insp Needed �'oc �'�7 Time Inspected By Work in Progress �,urx�c�z�t." �•��'' y�VG 3 '� Si h 1 Inputj" Date I �I Town of South Windsor, CT Pemit No, 7017 Permit Date 06/28/1999 Drain Layer Permit E:X15�i ration Date 07/28/1999 Des_c r i p Applicant Location � � `` � Name JMJ CONSTRUCTION CO _ Addr� 00,35 GILBERT LANE Addr . 658- ELLINGTON ROAD Nil�t�r LA1 REALTY INC w SOUTH WINDSOR CT �OOQ 4 Phone No (860)528-7889."� ' $ y J The Drain Layer a s n a t1,�'s t t�,has n d 1 cense issued by the and iy s set forth in the state and hereby agrek�'3 �7 the attached 'Conditions' . A1k. sha ,n a� n with Town of South ' ched cond i t ions. Windsor standards, all` OV " a � q € f � Issued By n �^ Inspe� Date Inspe to d any. . i 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: D_57 Lf Lot #-2z_ Street No. Street Name Premises owned by:--:Oil C&O E ki< Name of Firm: Phone: Aa)i�00-sp,51 Address of Firm: TYPE OF WORK: Lay House Drain_; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with S D 3 Proposed Start Date L DaQ-W 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 Jd-An cro S�r the holder of Drain Layer's License No. AI&Qg-'30 . Only holders of P1, P7 &W9 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. Signed: Print Name: DAhC'o;?v'e� Lic d in Layer Date:- Standard forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT,doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: --/7,T7 BUILDING ADDRESS S LQ STREET : GIL 3F-rz� Z,wr SUBDIVISION: NORTH ARROW 541 j ; { i i ! i In p i ; '�st pAj l }L t� �; , L ,� N' It- yi I l�M C01t-Syk uGV r9V1 S CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT) jL©'� �r - STREET ADDRESS SI NATURE '2% '1t4 co"Pi 0 6 079, DATE --- ----WN.__- _- -- ___ _ ATE-- _ . ___.SIP___ INSP TED BY TOWN — DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER