HomeMy WebLinkAboutDrain Layers Permit 21 Hitchcock Way TOWN OF: SOUTH WINDSOR INSPECTION ION REPORT
Permit No. 6519 Contractor MIGHArL WILCOX
Location 2. 1 HITCHCOCK WA`r Address EAGLE EARTHWORK SERV .
Type Work NEW SAN LA-t 101 N MOUNTAIN ROAD
CANTON C 06019
Pbu-ne"Nu. (fib 693
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Permit. No. 6519 1 own of South Windsor' . t 4
Permit gate 11i14/1996 brain Layer Permit.
Expiration Date 12/14/ 1996
De8crip: LOT 2 AVER`r' MEADOW
Appi iGant Location
rda!r►e Ml(," lAEL WILCOX Addr . ' 21 HITCHCOC K WAY
Addr . EAGLE EARTHWORK SERV . Owner MANNARINO
101 N MOUNTAIN ROAD,
CANTON CT 06019
Phone No. (860)693-2027
The Drain La;ler assi-gned this permit has a va1.id 11cense issued by the
state and hereby agrees to all 1 the conditions :yet forth in the
attached 'Conditions '. A 1 i work hal l be in accordance with Towo of South
Windsor standards, all OS;iA requirements and the attached c;ond i t.-ions.
Issued By'! _ ®��. iL1err ,� _ --
IA
Date Inspected / ..� - - M - . __ Inspected Ley
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 2-/ f7` kkeock tj)q / Lot # 2
Street No. Street Name
Premises owned by: &2126qh01) &;Ijee5
Name of Firm: /Io,1 n q/1;d o Phone:
Address of Firm:
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commerciai/Industrial
Building of acres
Connection will be made with V/ �(�yc-
Proposed Start Date f//f 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 / <<�'IQ�°( �l/�/C°D J� the holder of Drain
layer's License No. 2 ?7/-f/ 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: ! (4� wz,feok Print Name
Licensed Drain Layer
Date: