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HomeMy WebLinkAboutDrain Layers Permit 11 Glenwood Road TOWN OF SOUTH WINDSOR INSPECTION REPORT 'Permit No. 6505 Contractor JAMES THROWE Location 0011 GLENWOOD ROAD Address VANS SEWER & SEPTIC Type Work NEW SAN LAT 222 TROY ROAD SOUTH WINDSOR CT 06074 PE�one No. ( 860)289-0095 Date Insp Needed Date Insp,���_�� �� Time Insp Needed —_ Time insp. Inspected By Wor}�w in Progress Input Date 1 Permit No. 6505 Town of South Windsor, CT 1, Permit Date '10a/23/1996 Drain Layer Permit Expiration Date 11 /22/1996 Descrip. Applicant Location Name JAMES THROWE 40dr. 0011' GLENWOOD ROAD Addr. VANS SEWER & SEPTIC Owner LlMATO JAMES A & GEORGETTE H (S 222 TROY ROAD SOUTH WINDSOR CT 06074 Phone No. (660 )289--0095 f The Drain Layer assigned this permft has a valid license issued by the state and hereby agrees to all the ternrs 'drad cond t�orla set forth in the �. attached 'Conditions' . All IWork shall be in accordance with Town of South Windsor standards , all OSHA reru rements, and the attached conditions. Issued By -` T i t 1 e Date Inspected Inspected By ., APPLICATION FOR DRAIN LAYERS PERMIT TOWN.OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work:- G �Zh r t Lot # Street No. Street Name f Premises owned by: Name of Firm: C Phone: c(JC> Address of Firm: 5z 6 TYPE OF WORK: �• Lay House Drain , Repair House Drain , Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Proposed Start Date Estimated time for completion le •ZIe�lf 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 ctYvLQ.46 f`�-"�—� the holder of Drain layer's License No. �U�( gj' 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. ?tiy Signed:__ Print Name : vvv-S Licensed Drain Layer Date: ,�Gc-1 / C�