HomeMy WebLinkAboutDrain Layers Permit 165 Graham Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 6833 Contractor EASTERN WATERPROOFING
Location 0165 GRAHAM ROAD Address P.O. BOX 504
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. (860)875-6646
Date Insp Needed /;r " Dte `Insp.
Time Insp Needed
Inspected BY
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Work in Progress 98
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Date
Permit No. 6833 Town of South Windso(, CT
Permit Date 06/10/1998 Drain Layer, Permit
Expi,ration ' Date 07/10/1998
Descrip:
Applicant Location
'game EASTERN WATERPROOFING Addr'. ,0165 GRAHAM ROAD
4ddr . P.O. BOX 504 Ownsr;. LABONTE MARK A & TAMMY LYNN
SOUTH WINDSOR CT 0i0 ,4
Rhone No. (860 )87506646 s
The Drain Layer ass i`gne0 `this perms t has a, va,T d 1 f cense issued by the
state and hereby agrees t4 :alfi 'the ;terms, and co6d,+t,ions set forth in the
attached 'Conditions ' : All;,v :rk shil be ,in aadordance with Town of South
Windsor standards, all OSHA equ i rement�s,'`and ivhe, at.tached conditions.
[sued By Tit1ej
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)ate Inspected 11LLQ Inspected By, �
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WWDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work I z,S G2 �`l Lot #
Street No. Street Name
Premises owned by: IT p2) y�
Name of Firm: LA (, ()2 cn Phone:Cb� (Q(` 14
Address of Firm: {-- ) r s
TYPE OF WORK:
Lay House DrairL
Repair House Drain ;
Lay Main La Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date` 1 j Estimated comor time.f P letion I
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. � S'Q:? : Only holders of Pl, P7 & W9 licenses will be
issued a permit. Permit will expire thirty (SO) 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.
P1
Signed: Print Name 6/12 d�-2-c- F 71�
L ceps Drain Layer
Date: ,,,-- lcr ?r
1
94)a3oo-6ql�
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS - �� �RrA��w� Q
STREET
N SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACT S SUPERVISOR (PRINT)
STREET ADDRESS AA
SIGNATURE
TOWN STATE ZIP INSPECTED BY TOWN
cz�i o q--? DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
1,400 N 181,600 E 200,20.0 N.181 800
N 1.82,000
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SEE SHEET -WCOP. EP .iW154 KUPCHumoS SROMRS,INC.