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HomeMy WebLinkAboutDrain Layers Permit 582 Graham Road 'rF TOWN OF SOUTH WINDSOR INSPECTION REPORT -Permit No. 'F7205 Contractor JAMES THROWE Location 0582R;GRAHAM ROAD Address VANS SEWER & SEPTIC . .Type Work NEW S'AN LAT 97 RIVERSIDE DRIVE VERNON CT 06066 _ R One 'No. (860 )289--0095 Date--"I�hsp- Heeded3a Insp ©T 1� •t Time Tnsp Needed �� _ #�3� �T� �r�sp. ; As PJ� Inspected By Work in Pro r ss �� l.•F'. \�� Wl�l Fj¢. INS'7��� s- ?N��C;"CP. '3`� .15`C�CY . 5`1�L �.3.ST/�l�'kl� !may (�r�t�,owu� t�(�ubvs�y ��`la�s 5' .c--rim � tiisP '�'1bl' • ti���€� 8:45 - �N��c-r�.a� �r►O�-T�,;�+�t� �c)C�ri�p e ��-ton,�.�P� ��1,s�� .�i #���, ��v-r�i�'.. PL.u,�B�%�� N€x-(' 6C SU&AhT�v � npiat Date f1c, Permit No. 7205 Town of South Windsor, CT Permit Date 11/07/2000 Drain Layer Permit Expiration Date 12/07/2000 Descrip: Applicant Location Name JAMES THROWE '°�A;ctdr, 0582 GRAHAM ROAD Addr. VANS SEWER & SEPTIC 'v E'= owriel' ,REICHLE SALLY D 97 RIVERSIDE DRIVE VERNON CT Phone No. (860)289-0095 P The Drain Layer ass �r � *s Yi cense issued by the state-and-hereby agr � � and � � talons set forth in the - - - hed—'-Conti i t ons A W ^k shi n a �"clarpp with Town of South Windsor standards, a11=yt5# rei end 41ittached conditions. � _ Issued By �� i E _, 4 , �� �• 4 �N��y ,� Date Inspected 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: J U j �a� �v, Lot # Street No. Street Name Premises owned by: Foor, &I' -�/4L--' � 1 Name of Firm: '� phone.• Z �f� —tit Address of Firm: q7Pjb -j-)c� dr, TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with � Existing Water Supply: Public Water Well A) Proposed Start Date M0\1 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 the holder of Drain Layer's License No. 3 V . 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. Signed: Print Name: �_ 0- Licensed Drain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc {�. 7 d f 14 t ` $ `-- —_ _. h Tip t�, ; TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: ou BUILDING ADDRESS 'r STREET SUBDIVISION: NORTH ARROW t , t t i I t # 7 l- - j ._.._ a_... Sex , t t! i p _ _ 'A a .Ii'YL�i CONTRACTOR (PRINT) T 1 NAME-OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS ATURE 6 6, 4 1 DATE TOWN STATE ZIP INSPECP BY TOWN -2 17 l DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER