HomeMy WebLinkAboutDrain Layers Permit 44 High Tower Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7152 Contractor JAMES THROWE
Location 0044 HIGH TOWER ROAD Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
Phone_ No.. (860)289-0095
Date Insp Needed � � � JC�, D�te Insp.
Time Insp Needed
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Inspected By
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Frqiwmit No. 7152 Town of South Windsor , CT
Permit gate 05.12512000 Drain Layer Permit
Expiration Date 06/24/2000
De5crtp:
Applicant Location
Name JAMES THROWS Addr. 0044. HIGH TOWER ROAD
Addr . VANS SEWER & SEPTIC Owner t_EVESOUE ROBERT L. & JACQUELINE
97 RIVERSIDE DRIVt-
VERNON C'f 06066
Phone No. (860)289-0095
The Drain Layer assigrjed this permit has a valid license issued by the
state and hereby agrees to, al l the terms and conditions set forth in the
attached 'Conditions ' . A11 work shall be in accordance with Town of South
Windsor standards , all 'OSHA' requirements, and the attached conditions.
Issued By _. _._ _ _ Title
Date Inspected` -._ Inspected E3y /��,;,----`---�-`--
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: V �, �
Lot
Street No. Street Name
Premises owned by, .
Name of Firm: ; . f;e__ Phone: 0
Address of Firm: /?' 'i
TYPE OF WORK: ,cif
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres -
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date CJ/�" VEstimated time for completion
1..
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND-CDNDITION ATTACHED TO THE PERMIT
Permit is to be issued to -��'`�'�� 'I o ;��-�., the holder of Drain
Layer's License No. 2 V-0 Only holders of P1 or P7 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.
CBYD No. "?C1o0
Signed: Print •---b'n, 5
Name..
6/Licensed Drain Layer
Date:_ L 1A,
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY . SEWER LATERAL FIELD - LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS y .2co/
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME F CONTRACTOR'S SUPE ISOR (PRINT)
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STREET ADDRESS SIGNATURE
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TOWN STATE ZIP SPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER