HomeMy WebLinkAboutDrain Layers Permit 25 Heritage Drive i
TOWN of SOU'l"Fi 'WINOSOR INSPECTION REPORT
i
Permit No. 6696 Contractor J & H SLATER CONST 00
Location ' 25 HFRITAGF DRZVr- Address 76 COMMERCE: WAY
Type Wor , NEW SAN LAT" SOUTH WINDSOR CT 06074
Phone No. i 860 y ; i " 5252
Date I nsp Needed " 0,ate 10Sp
Time I nsp Needed T V ie 1r
Inspected By
Work in Progress
input �Z Date -
Permit No . ri. + I own of Soutn w;nasoi,
Pertivi t mate r 4/._.�,/ 19 +7 Drain [_aver Permit
ExpiPration Date 05/25/ 1997
Desc,r i p: RFCE:IPT #
Applicant Location ;
Name J & H SLAFER C()N:7,T CO Addr. ; 25 HERITAGE DRIVE
Addr .. 75 COMMERCE: WAY Owner RSK hELt-C: ')
SOUTH WINDSOR CT 0 60; 4 ,
Phone No. (660 )525-5252
The brain Layer assighed <tllI`e permit has a-',vatId license issued by the
state and hereby agree t®, a7 1 'thP terms and 0'0ndtti4l>G set: forth in the
attached 'Condition,, ' . A`l i wort--, shall "be in accurdance' with Town of "�outh
W i ndsor standards , a "I 1 OSH"A regCvj rements and the attached c..ond i t i Gins.
f � � r /( r,
ISS 1Pf� f�Y �"
Gate Ins pected -5�9� Insoected E3
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH RTADSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: �2jT Lot #
Street No. Street Name
Premises owned by.-
Name of Firm: -?�171 Phone:
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
Proposed Start Date Ou Estimated time for completion .F4 41-4 3
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 � /�' �.����C �Us:/S� Gct. the holder of Drain
layer's License No. ;?d7754,9 Only holders of P1, 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. 1i1d
Signed.• Print Name �/ � , V—4zjz
Licensed Drain Layer
Date: )7