HomeMy WebLinkAboutDrain Layers Permit 15 Grace Road e ►
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 7501 Contractor JAMES THROWE
Location 1' Oo t 4 Adko .
.Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
ne No. (860)289-0095
Date Insp Needed
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Time Insp Needed
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Permit No. 7501 Town of South Windsor,
Permit Date 09/04/2002 Drain Layer Permit
Expiration Date 10/04/2002
Descrip:
Applicant Location
Name JAMES THROWE 1 , d 0015 GRACE ROAD
Addr. VANS SEWER & IC w ANDRUS MARCIA T
97 RIVERSIDE
VERNON
Phone No. (860)28 0
` f
The Drain L y rmi
\ lid license issued by the
state and here to erm �c� ditions set forth in the
attached 'Condi b c rdance with Town of South
Windsor standar r e attached conditions. .
Issued By -5 F ' ;
Date Inspected 0a c
acted By
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: �S &_mC4.1 ILd Lot #
Street No. JJStreet Name
Premises owned :b n<.e.- n CruS
Y
s 1
Name of Firm: V v t ► �c Ll C Phone: ,�Ze�d6 ?5
Address of Firm: �7 7 g��� +/�•v d'r,
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with MI? 3
Existing Water Supply: Public Water - Well
Proposed Start Date9-TO4 Estimated time for com letion / OPo — P YGV —
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. 7) L 3 . 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 Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. 0 Z 0
�h
Signed: Print Name: �hu-S rd
Licensed Drain Layer
Date: 02,
Standard Forms\Permits�APPLICATION FOR DRAIN LAYERS PERMIT.doc
4 TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:.
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