HomeMy WebLinkAboutDrain Layers Permit 84 Heritage Drive b
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6812 Contractor J & H SLATER CONST CO
Location 0084 HERTIAGE DRIVE Address 75 COMMERCE WAY -�
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone T 0. (860)528-5252
Date Insp Needed 5 l� � mate hasp;
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Time Insp Needed 3 s� i Tfm6
Inspected 8y �t
Work in Progress
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Input I r,-.-- Date
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Permit )No. 6812 'Town of South Windsor , CT j
Permit Date 05/18/1998 Drain Layer- Permit
Ex'l ration Date 06/17/1998 i
Descrip: CONN. FEE PAID #4864
Applicant Location !
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Name J & H SLATER CONST CO Addr. : 004 HERTIAGE DRIVE
Addr . 75 COMMERCE WAY Owner' RSK=KELLCO INC.
SOUTH WINDSOR CT 0607,4,1
Phone No. (860 )528-5252
The Drain Layer ass ign4kti thft permit has � valYd` .license issued by the
state and hereby agree�� tcx tT i ,'thy# berms and o'orl iti€ ►3 set forth in the
attached 'Conditions ' . A 1 wa k shs1V1 b , an accoi- Ianc4 with Town of South
Windsor standards , all OSHA: requiremn't4 `ind tide attached conditions.
Issued By i tTa ?3 , � tJc�,��:==��_
Date Inspected - Inspected Q.y�
TOWN OF SOUTH WINDSOR
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SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: S - 19 - l00v
BUILDING ADDRESS
STREET
+ SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAAE OF CONTRACT R'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNAT E
S'ol"A Gf/f-A r'liy e, er 6 6 O 7 y �� DATE
TOWN STATE ZIP INSPkTT BY TOWN
�•� �'' S' �,� DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR /
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE 6
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: 1_�12, Lot #
Street No. Street Name
Premises owned by: Z4�ued
Name of Firm: �� �L�/ �'� Phone: ' �-
Address of Firm: '
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Comm.erciaVIndustrial
Building of acres
Connection will be made with 6
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 GU �L� � the holder of Drain
layer's License No. Zv77'1Y Only holders of Pl, P7 & W9 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
Excava ' Permit No. and/or ConnDOT Permit No. •((0
Signed: Print Name . 1,9*61
se
Licend Drain Layer
Date.