HomeMy WebLinkAboutDrain Layers Permit 24 Heritage Drive TOTnJPI OF JOU'�' I T�7II3?)� x7 C , i I
Permit No. 67G� c> i ?t" 'rF T14ji I, 'w? K
Location 0024 fHEATIAGe DRIVE Address 75 COMMERCE WA`r
Type Work . ttEW SAN LAT SOU7 N WIiJGSOrt C1 06074
Phone No. t 860 1528-6252
Date Insp Needed Date irlsp.
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Time Ins Needed �' 5f
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Work in Progress
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Permit No. 6702 town of South Windsor, CT
Permit (late 09./30/ 1947 Drain Laver Permit;
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Descr i p: /�� O� SOL I I L�ItTD.�
- Permit ?lo. ' 6702 DMUN LAYEPt PMMIT
3= Apr)11cant Location
N�wie 1 H ;l Al Eck CONST C,0 Addi . O024, HE:RrIAiik ORIVE
Aciclr' , 7�i t;OMMFRC;'E' !NAY Owner R`P--- F.E=lA.00 INC.; .
SOUI H WINCiSOR CT 06074
Phone No. t,860 )528-52 r2 `
The Drain Layer` assigned license issued by the
state and hereby :agrees ta a1 1. the terms and condlt ons set forth in the
attached 'Condit-ions'. A l 1.�',,wo'rkF shall ire in accry�rdance with -ro wn of South
Windsor standards , al 1 t SHA -requ i r 9ment.s, an& tha' attached conditions .
Issued By _ _ � Tithe
Date ln. t,et::ted __ __I�. g�= --_ ,_ Inspect>ed 8
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: Z4 a Lot #1—
Street No. Street Name
Premises owned by: —s
Name of Firm: j T' Phone: SZ<4 �ZSZ
Address of Firm: (26ijAnu F UJ A
TYPE OF WORK: /
Lay House Drain V Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with �4
Proposed Start Date 0-Q)3 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 •JAvKt-S : <; A i - the holder of Drain
layer's License No. Q�)1*71H . Only holders of PI, 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. lv 1A
Signed: Print Name
Licensed Drain Layer
Date: