HomeMy WebLinkAboutDrain Layers Permit 65 Heritage Drive 4
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. .q53-,6 7,gr4 Contractor J & H SLATER CONST CO
Location -Otl -HERTIAGE DRIVE Address 75 COMMERCE WAY
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phope No. (860)528-5252
Date Insp Needed / o/gyp Date Insp.,,, T :p 6'
Time I nsp Needed 3 m e ; nip
Inspected By
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Input Date
Permit No. Town of mouth W ndsc>r,, CY
Permit lute 0 /03/ 1998 Crain Laver Permit
1'.xpiration hate 04/02/ 1998
De s c r i p : R FC E.I P l--, r2k:)
App I C'
Nance J & R N.3 1 „Fl - r�r � .
� �, :.4(141 t� + e" tir_ft t 1.AU : Ut?.t_V
Addr 75 COMMERCE WA`( Uwri�r K. r -P,ET. t_t.;G INC
SOUTH WINDSOR r:T aj74
The Drain Laver s3ssignd this 0'(5rmit has a val''ic7 license issued by tt�e
state and hereby, agrees_, to', 0l1 tVie terms' And condlt uns set forth in the
attached ' Conditions ' AI i work shall be in ac4or�dance with Town of South
Windsor standards , a I 1 ��fitA`r, �qu't r et3tents and the 2tttached conditions .
Issued By �--�- `"�"- � T i t.l
Date Inspected spe
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 3- 2 d- 9,?
BUILDING ADDRESS
STREET 'f y e- ry e
+ SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
75" G°a--,,rnekc&- w
STREET ADDRESS SIGNA RE
Sv L'Y� j41;h z/fc')— n 6 O-7 51 3 zd x DATE
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TOWN STATE ZIP PEC D BY TOWN
S-�2.ja 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: & f�E/�i T��E Lot # lG
Street No. Street Name
Premises owned by: Z,5k
Name of Firm: ;g - �.J5`Z Phone: Z5 Z
Address of Firm: -7S
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with y /�
Proposed Start Date Estimated time for completion / GS_
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. 2072W 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
Excavation Permit No. t/ i and/or ConnDOT Permit No. ti
S G Print Name
Signed: cJ �lc`5All
Licensed Drain Layer
Date: ��y