HomeMy WebLinkAboutDrain Layers Permit 445 Graham Road i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7920 C nprd"t�'Eor BAR :4::�7 ILITIES L.L.C.
Location 0445 GRAHAM ROAD 1:AAddre9j "?> P. >
Type Work NEW SAN LAT
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Permit No. 7920 Town of South Windsor, CT
Permit Date 05/16/2005 Drain Layer Permit
Expiration Date 06/15/2005
Descrip $ s
Applicant . / >. ,.x' ion
Name BARBER UTILITIES?L LX .;..," ..>;>.:;'•<':- -4: aG2AH.Iair.: }`AB:.
Addr. P.O.BOX 331 % veer THORI-LDS I 1KAhE' H
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EL 0 LINGT N '•Z�/fsr`�
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Phone No. (860)872-X-3 ;Q*.?
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The Drain Layer
: 5'tiXi:ei$ s >jp";z {fa$ rid > . eise„' Sued by the j
state andhereby air ' ri hr "'fif<o tth in the
attached 'Conditiori ':s"% 1 u�pfc .k
ZERO, .' wn of South
Windsor standards, tie""atf&t6h6d c 9:editions.
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Issued B
Date Inspected
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: I'`1S Gk&N� �� Lot #
Street No. Street Name
Premises owned by:- -s> p v i;i 009
Name of Firm: 3 ,f=YL uYl L 111 (F,S Phone: Sz�B-�s3 3
Address-of Firm: ''i P. T,a x
TYPE OF WORK:
Lay House Drain_; Repair House Drain
Lay Main ; Lay Lateral-for Commercial/Industrial
Building of acres
Connection will be made with V UC o i2 FF"W
Existing Water Supply: Public Water_ X Well
Proposed Start Date .�- /7-d 5- Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to 1J D S�4✓,y tJS the holder of Drain
Layer's License No. ?-7$S _d_1 Only holders of P-1, P-7 or W-9 licenses
will be issued a permit. PERMIT WELL 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. Z005_/ o fo25'
4ZZSigned: Print Name: /D sT}g ,US
License. Drain Layer
Date: S— /,-0 1>
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
'SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: �--/? os
BUILDING ADDRESS
STREET C.ALA kc4m
SUBDIVISION:
NORTH ARROW
CONTRACTOR (PRINT) NAME OF ONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGNATURE
1 A� Irv., C r U(�2 g �--� ®�s/ / DATE
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40
TOWN STATE ZIP INSPECTED BY TOWN
Go 36 `3 3 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
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1, VALLERIEM. BAR NET JAMES A. CHAUVIN , L 0 A. FAVREAU YMOND J. CHAMBERL N, HOWARD >ji GAREE , KENNETH C. � GIORDANO ILLIAM A
_ JUANITA D. ARY S. M ELEINE M. AUREL BARBARA B. TRICIA
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7 T -ECOR.BOT. STEP 469 8.9 'sah