HomeMy WebLinkAboutDrain Layers Permit 72 Heritage Drive 117wr1 OF Z:1I)U 1 H wIri bup< i1` bFLQ; 1 ION` Kr;PUR1
Permit No. 6700 Contractor J & H SLAIER CONST CO
Locatigp 0072 HERTIAGE DRIVE Address 75 COMMERCE WAY
Types Glor'k NEW SAN LAT S001 H w1 t}Il`;0R CT +i60 74
Phone No. ? 60 528-5262
Date I nsp Needed -------_-_ __----- _-_----- — Date Insp. -
r r
Time Insp Needed --. .------_-- -= -r =- me nSp.
Inspected By
Work in Progress
r
I
i
Input , Date
1
1
Permit No. 610r own of South Windsor, OT
r'<rI I L iU L)i d l i t 7,y 7,6 He m I L
Exp ation Date iu 30 1997 �.
DeSc`rr i # TO1,R1 OI? SOUTH TINDSOP.
p :
Permit !,To. 6700
r. Applicant Locat i on
Name J & H Si:AIER CONST CO Addr .. 0072 HERTIAGE DRIVE
Addr . 75 COMMERCE WAY Owner RSK--KELLCO INC .
SOUTH WINDSOR CT 06074
Phone No. ( 860)6218-5252
i
The Drain Layer assigned thj s permlt has a val,)d license issued by the
state and hereby agrees; to ",a1�1: the terms :and cIdn(fi t ions set forth in the i
attached 'Cond"i t i ons ' A) T�,w, orK , sha l# be,- n �ecc,o,r fan-ce with Town of South
Windsor standards, all OS HA, requirements - and ,tyre attached conditions .
Issued Sv
r
Ti.t1e".
Date Inspected / Tnspectbd "By 6"
TOWN OV SOUTH WINDSOR INSPECTION REPORT
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
o proposed work: 4E kTA- � Lot #
Location f p p �Z � CL- C.c 1�2 _ I
Street No. Street Name
Premises owned IS(-ATE-(L
�SK
Name of Firm: Phone: 4:7 5 ZS z
Address of Firm: Cg�,vx M f-2C.E WAq
TYPE OF WORK: /
Lay House Drain y Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date lo-63 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 -14qtES 7 14.2 iZ the holder of Drain
layer's License No. ZG"1'14--9 . 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. and/or ConnDOT Permit No. N Liq
Signed: Print Name �i�}(iKC ,�C,F}iZ�
Lice ed Drain Layer
Date: (O}GZ-9-1