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HomeMy WebLinkAboutDrain Layers Permit 6 High Street 4 TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6892 Contractor JAMES THROWE Location 0006 HIGH STREET Address VANS SEWER & SEPTIC Type Work NEW SAN LAT 97 RIVERSIDE DRIVE VERNON CT 06066 © Pho,Me. N0" (860)289-0095 Date Insp Needed Q�Z g, , O.ate =I .�� 10���98 / Q f Time Insp Needed Fite Insp,: �o� Inspected By Work in Progress 2 0 j 1�y1 Q1 p . �n�s i at�l'SD Face �'t ,;4 ��'"/wA�ru�N(�`TAPS >ANA �iRA�Tti� '�c� �jR.�c��� e�-P3ulL't' �1C3vTGAl - Je�F�MI Input Date lO�rISF� Pefrtrrlt" No. 6892 Town of South Windsor, CT Permit Date 10/02/1998 Drain Layer Permit Expiration Date 11/01/1998 Descrip: CONN FEE PAID #4918; CK 58227 FOR PRO RATE FEE Applicant Location Name JAMES THROWE A( dr. 00 HIGH STREET Addr. VANS- SEWER & SEPTIC j © t e SMT-N., DONALD G LOUISE F SURV 97 RIVERSIDE DRIVE Ev - VERNON CT _060 ' Phone No. (860)289-0095 r The Drain Layer ass 1gnOm th't`,§ a r, has V 'did icense issued by the state and hereby agree to ;a i T ` the terns endcttzt`iars set forth in the attached 'Conditions' A11r�rk..shx� 1 {b� <i,n a " with Town of South Windsor sta dar S. all,,"_, o HAI :,t*9 ` in ched conditions. I I 9- Y Issued B a 2)ate Inspe d P.� Inspeoted s r TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS 4n > STREET �-�- SUBDIVISION: NORTH ARROW t t t/ i , 1 ' I j I i -- 1 , i i i ! ' i t t : i ! f I ; r ; { i ! i • i CONTRACTOR PRINT) NAME OF CONTRACTOR: SUPERVISOR (PR'77 INT) STREET ADDRESS �- SITRE I ��J'�'10� l O �Q [ 9g DATE TOWN STATE ZIP INSPE D BY TOWN I < 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 T Lot # Street No. Street Name Premises owned by: ✓a� /n��' Name of Firm: 5,vt-y- c, r Phone: 7 6 Address of Firm: 17 Cat r ,r C-r TYPE OF WORK: Lay House Drain lid Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Proposed Start Date Estimated time for completion�0 OG 7 451 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 --J ,j / lr��� V�"S the holder of Drain layer's License No. . 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. Signed: Print Name �:;7,,e Licensed Drain Layer Date: i � y