HomeMy WebLinkAboutDrain Layers Permit 38 Gilbert Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7018 Contractor JMJ CONSTRUCTION CO.
Location 0038 GILBERT LANE Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
R-h6he3 No. (860)528-7889
Date Insp Needed /Z� / lam_ f5te 'Pins . z _
Time Insp Needed '1 4 T"irnan'spg�, T. r'?.
Inspected By
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In Date
Permit No. 7018 Town of South Windsor , CT
Peh it Date 06/28/1999 Drain Layer Permit
Expiration Date 07/28/1999
DDescrip:
Applicant Location
Name JMJ CONSTRUCTION CO. d�r.a 38 GILBERT LANE
Addr. 658 ELLINGTON ROAD LA REALTY INC
SOUTH WINDSOR CT7E, 4 ,
Phone No (860)528-7889
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The Drain Layer assti gne i s s , rili has v�l d_ 1 )cense issued by the
state and hereby agrees i�ie rnd � + tios set forth in the
attached 'Cond i t i ons' 1 �k ��� t n atano with Town of South
Windsor standards , a1 ,:0 � stPd � a#t. ched conditions.
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Issued By _ �
Date Inspect:jd
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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: G> 6 Lot #
Street No. Street Name
Premises owned by: J/117- 6ag5�.
Name of Firm:
Phone: oyo
Address of Firm: ,6
TYPE OF WORK:
Lay House Drain ri ; Repair House Drain
Lay Mahn ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date A—2;8—Pf 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 AA .1' c� .-the holder of Drain
Layer's License No. a0p 3rD my 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: �G�h JCS
tic ed D Layer
Date: ^/_9
Standard Forms\Permits\APPLICAI'ION FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS _,/ O ze
STREET
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NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRE S TU I
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TOWN STATE ZIP INSPECTED BY TOWN
06�a DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER