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Drain Layers Permit 477 Graham Road
x TOWN OF SOUTH WINDSOR INSPECTION REPORT I' Permit No. 7 Contractor VIOLETTE SILVESTER & SONS Location � Address 65 CHERRY STREET Type Work NEW SAN LAT EAST HARTFORD CT 06108 Phone No. (860)289-3466 Date I nsp Needed n s p E ,Time Insp Needed Inspected By ,��14 �. � Work in Progressyow _ R 77 j ,i Inpu Date Permit No. 7315 Town of South Windsor, CT Permit Date, 07/??6/2001 Drain Layer Permit Expiration Date 08/25/2001 Descrip: CK 26889 1310.00 477 GRAHAM & 107 MARK Applicant Location Name VIOLETTE SILVESTER & SONS A`ddr.. 0477 GRAHAM ROAD Addr. 65 CHERRY STREET Owner BARNETT JUANITA. D EAST HARTFORD CT 06,1,", ' Phone No. (860)289-3466 The Drain Layer assih -'d this Oarmtt;has . 6 valid license issued by the state and hereby agree t,A all � he =tems�`and `coiditions set forth in the attached 'Conditions' i sh-d 7 be �in act rdance with Town of South Windsor standards, al ' 4SN4�� qu� rembht-s and the attached conditions. Issued By Tle } ` i z� Date Inspected _ Y d�D/ Cts feted 'By --> APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT �j TOWN HALL 1540 SULLIVANAVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work: q rj Cj,--ro—h el-m R 6" Lot # Street No. Street Name Premises owned by: - , -D. Name of Firm: Vi01 i I V Phone: gip_age - 3 4�6(A Address of Firm: 6 Che-rr�i 44 r+;forcA a�F 109 TYPE OF WORK. Lay House Drain_; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with 6 s, �j IIli Proposed Start Dated i Qll Estimated time for completion l 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. 6 K Only hold s of Pl, P7 & W9 licenses will be issued a permit. Permit will expire thirty (301 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 N and/or ConnDOT Permit No. :signed: NameA4--31-cwel�4 - Licensed Drain Layer Date: J TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS : �17 7 CG- c�- STREET : SUBDIVISION: NORTH ARROW 77 ' - ' I r 1 i I - -•f i - ' ` y ;t^ ' i 1 � t r r � j i I i I , r . 111 , � 1 i f.---- + .... ` 1 r e i � } f � F � . , t o c i 1 f � i , t i i Vole ,lvcxl7c d,"©^s .4 MC, CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIG DATE TOWN STATE ZIP INSPECTED BY TOW DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER