HomeMy WebLinkAboutDrain Layers Permit 689 Griffin Road (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7620 Contractor SKIPS SEPTIC
Location '058� GR FFIN ROAD Address 27 MUDDY BROOK ROAD
Type Work RPR SAN LAT ELLINGTON CT 06029
cue o. (860)875-2332
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Date Insp Needed s
Time Insp Needed e
Inspected By
Work in Progress
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Per% � o. 7620 Town of South Windsor," CT
Permit,-Date 04/09/2003 Drain Layer Permit
Expiration Date 05/09/2003
Descrip:
Applicant Location
Name SKIPS SEPTIC 468 GRIFFIN ROAD
Addr. 27 MUDDY BROOK ROAD I ROSE A L/U
ELLINGTON CT 0
Phone No. (860)875-2332 , t
z
i a cense issued by the
The Drain Layer as s
state and hereby agre � nd i s set forth in the
attached 'Conditions' &QC with Town of South
Windsor standards, all ached conditions.
Issued By C
Date Inspected S s By
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT �f
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: gr 1- {j yi Lot #
Street No. Street Name
Premises owned by: 2 0 S F-
Name of Firm: Sktr S Sf p77 C Phone: 71 S2 332_
Address of Firm: 27 M u))y %FP-O pk- ;P-) Iri CAI/,'-'IV
TYPE OF WORK:
Lay House Drain ; Repair House Drain >C
Lay Main '
Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with (a PVC.
, .., .:: '^.•q.: _ + „4 ,i.,,+' to
t ±.
Proposed Start Date 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 7WU Aoh-k£7Z the holder of Drain
Layer's License No. 2.0? 7 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..
Sgne&7.2 Print Name:
Licensed Drain Layer
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
h TOWN- OF ���
SOUTH WINDSOR
SANITARY, SEWER LATERAL ' FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : w 61
STREET
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CONTRACTOR (PRINT) NAME 0 CO7'zu;r.�_
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STREET ADDRESS s4ffruRE
L f/J G n Al CT o 6oZ 9 DATE
TOWN STATE ZIP INSPECTED BY TOWN
6 o 71— 7-3 3 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER