HomeMy WebLinkAboutDrain Layers Permit 705 Griffin Road t
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7112 Contractor JAMES THROWE
Location 0705 GRIFFIN ROAD Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
Phone No.. (860)289-0095
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PdA-nit No. 71 1 2 +own of South Windsor, CT
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Porinit Date 02/28/2000 Drain Layer Permit j
Expiration Date 03/29/2000
' Descrip: USER FEE PAID
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Applicant Location
Name JAMES THROWE Addr. Q1-05 GRIFFIN ROAD
Addr. VANS SEWER & SEPTIC { wer FEDERAL NATIONAL MORTGAGE ASSOC
97 RIVERSIDE DRIVE
VERNON r CT 016Q ,
Phone No. (860)289--b095
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The Drain Layer as'1 one ( t#1'�,s °p®t"ii11 G hash d ,;license issued by the
state and hereby agrges i:o a 'i the "t� Viand +cgpgii ohs set forth in the
attached 'Conditions ` O.r.k ;fin apeb�dane with Town of South
Windsor standards , a 1 1F OSHA r�e I r rn a ,i end t e #:att`ached conditions.
Issued By _ .>. G-�R►u�
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Date Inspected
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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: r1
- n C Lot #
Street No. Street Name
Premises owned by:
Name of Firm: 10
Phone: .297CO7S
Address of Firm:
TYPE OF WORK:
Lay House Drain 14 ; Repair House Drain
Lay Main ;
' Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date � Estimated time for completion
P �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 1 as the holder of Dr
Layer's License No. dotV am
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. ow /000o I
Print Name: rt _ -
- - Licensed Drain Layer
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Standard Forms\PermitAAPPLIGATION FOR DRAIN LAYERS PERMIT.doc —
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL
FIELD LOCATION
DATE OF CONSTRUCTION: r, 9
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TOWN- STATE ZIP INSPEC36 TOWN
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