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HomeMy WebLinkAboutDrain Layers Permit 301 Governors Highwa 4 TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. *7418 , Contractor BUTLER COMPANY Location 0301 GOVERNORS HIGHWA Address 848 MARSHALL PHELPS RD. Type Work RPR SAN LAT WINDSOR CT 06095 Z 6 t No. (860)688-8024 Date Insp Needed s Time Insp Needed b� Inspected By 71, Work in Progress - 0"W� ,.� Cn t Date 7418 Town of St °Windsor, CT permit Date 05/08/2002 Drain Laver Permit xpiration Date 06/07/2002 )escrip: INSTALL LATERAL TO NEW ADDITION Applicant Location Name BUTLER COMPANY Addr Q3`G1 GOVERNORS HIGHWA Addr . 848 MARSHALL PHELPS RD., G?�atbwr MAY -EPARTMENT STORES r `I WINDSOR CT, O�� J x Phone No. (860 )688-8024 The Drain Layer ass!Qh4d. this, pertit has . vAYad license issued by the state and hereby agres td al 1 the ta�^t end �csra :itiots set forth in the e attached 'Condit i ons' : ,h 1 1ar ;r ►. acic with Town of South Windsor standards, all ,.CS( t`;rqu' i + i, s ;c! attached conditions. Issued BY �- rJA41 �te �� ` ^ f x 141 Date Inspected � �� tee Y _ -- • / 4,16 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: jo 1 Lot # Street No. Stre Name Premises owned by: At Name of Firm: Phone: rrrt. 'F YD z r Address of TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main_ Lay Lateral for Commercial/Industrial Building of 3 o acres Connection will be made with _ s-p m -1 Proposed Start Dates o z Estimated time for completion 8 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 j?, the holder of Drain Layer's License No. j 2 2 4.a Z 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. SignedC, Print Name:�sL._'�—�.,,.,...1�.,..� ti sed Derain Layer Date: S � o Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc j f � WALDO BROS, COMPANY WALDO BROS. COMPANY ., � f ; 202 SOUTHAMPTON ST. 595 NUTMEG RD. NORTH 202 SOUTHAMPTON ST. 595 NUTMEG R0. NORTH BOSTON, MA 02118-2789 SO.WINDSOR,CT 06074-2461 BOSTON, MA 02118-2789 SO.WINDSOR, CT 06074-2461 617-445-3000•FAX 617-427-5691 860-289-9500•FAX 860-291-8500 617-445-3000•FAX 61 -427-5691 860-289-9500•FAX 860-291-8500 BRICK • CONCRETE SPECIALTIES • BUILDING MATERIALS BRICK • CONCRETE SPECIALTIES • BUILDING? ATERIALS I �. oil 14) � v �3 WALDO N,�, c►�ns� BRO . s' BROS. tmA3 V HE ONSTRUCTION INDUSTRY S1k18.69 SERVING THE CONSTRUCTION INDUSTRY SINCE 1869 ;, t�0459