HomeMy WebLinkAboutDrain Layers Permit 45 Hitchcock Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6570 Contractor MICHAEL WILCOX
Location 45 HITCHCOCK WAY Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 06019
Phone"Np:;. (860)693-2027
Date Insp Needed ��s� � p te' z� ®7
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Time Insp Needed _ firrrieIni;
Inspected By
Work in Progress
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Input Date
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Permit No. 6570
Permit Date 02/20/1997 Town of South Windsor, CT
xpiration Date 03/22/1997 Drain Layer Permit
)escrip:
Applicant = , Location
{
lame MICHAEL WILCOX
4ddr.. EAGLE EARTHWORK SERV, ' �� ' � r" 45 141TCHCOCK WAY �, ��
101 N MOUNTAIN ROAD `# ' T�41tNO BUILDERS
� �
CANTON CT A66,0114
hone No. (860)693-202 7 f°, _ yap
The Drain Layer as _n gs. rfi y f
s ai ense issued b the
state and herebyagre� d ct� s set forth my
P
s
attached 'Conditions' ' ` the
AST k a with Town of South
Windsor stand rds, all . H g�a ,r�� � �
ched conditions.
ssued By 4Y
a"
ate I nspec
9 , By
APPLICATION FOR DRAIN LAYERS PERMIT
}, TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
r TOWN HALL
1540 sVLLIVAN Av NUE
SOUTH WINDSQR, CT
FEE$25.00
Location of proposed work:
Street No. Street Name
Premises owned .. y: 5.
Name of Firm Phone ,.
Address of FirmAM TMW
TYPE OF WORK.-
Lay House Drain ; Repair House Drain ,
Lay_.Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made withP� �i'
Proposed Start Date- Estirna.ted 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 11 . t/fC.d the holder of Drain
layer's License No. Only holders of PI, -P7 8 W9 licertses 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:
_ t _
9
Signed:... ::. ,. e Print-Name
Licensed Drain Layer
Date: J-7