HomeMy WebLinkAboutDrain Layers Permit 89 Heritage Drive TOWN OF SOUTH WIND80R INSPECTION REPORT
Permit No . 16770 Contractor J & H SLATER CONST CO
Location 0089 HERTIAGE DRIVE Address 7.5 COMMERCE WAY
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. ( 860 )528-5252
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Time I nsp Needed -- --_ - -f--� fine e
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Permit No. 6770 (own of South Windsor, CT
Permit Date 03/ 19/ 1998 Drain Layer Permit
Expiration Date 04/18/ 1998
Descrip :
Applicant Location
Name J & H SLATER CONST CO Addr. .0069 HERTIAGE DRIVE
Addr. 75 COMMERCE WAY Owner RSK-hE:LLCO INC .
SOUTH WIND SOR CT 06014
Phone No. (860 }528-5252
The Drain Layer ass-i fined; ,th,is permit, bias a vaJ 1 license 'issued by the
state and hereby agrees_ l' 'the terms and condit--ian•s set forth in the
attached 'Cond i t i ons ' . A I J work sha l } ;die i n accr rdancE with town of South
Windsor standards , a 1 1 'OSHA<-reQ'u' A rements,f, and the; atta shed conditions.
Issued 8y
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Date Inspected -1? -L� - Inspected �,y
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : 1c' /7/e
STREET
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NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONT CTOR'S SUPERVISOR (PRINT)
7S- �ani�h epe-e
STREET ADDRESS SIGNATURE
So AI i h r/<S'oY C°7" Q 6 G 7`/ 7��� DATE
TOWN STATE ZIP INSPEC#b BY TOWN
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
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: Lot #
Street No. Street Name
Premises owned by: K
Name of Firm: J 414 ��F��-IZ �Q���i Phone: `jZZE�
Address of Firm:
TYPE OF WORK:
Lay House Drain _; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 7 V
Proposed StartDate3-&`I Estimated timeforcompletion ��� ►��4s
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 �alti tS IzEk the holder of Drain
layer's License No. Z6�-14`1 . 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 attac ed thereto. Applicant has received Town Street
Excavation Permit No. 1 J and/or ConnDOT Permit No.
Si9 nett Print Name
Licensed Drain Layer
Date: �-,(`1 - `�c�