HomeMy WebLinkAboutDrain Layers Permit 44 Hitchcock Way TOWN OF SOUTH'WINDSOR INSPECTION REPORT
Permit No. 64*E- Contractor MICHAEL WILCOX
Location G SG/ Address EAGLE EARTHWORK SERV .
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 06019
Phone No. (860)693-2027
Date Insp Needed _ !?Of3ate n1sP, 1.f ��_----
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Time I nsp Needed _ Time Insp.`
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Permit No. 6561 Town of South Windsor, CT
Permit Date 01/23/1997 Drain Layer Permit
Expiration Date 02/22/1997 I
Descrip:
Applicant Location
Name MICHAEL WILCOX Addr. " 44 HITCHCOCK WAY
Addr. EAGLE EARTHWORM SERV. 01Wn,"rrir'`,MANNAR.INO BUILDERS
101 N MOUNTAIN ROAD;
CANTON CT 08019 }
Phone No. (860)693-2027
The Drain Layer assigned th"i permiit has a +� F xd V tense issued by the
state and hereby agrees to �al l' the--termm and conc#Ttlons set forth in the
attached 'Conditions ' . 'A-i 1 'Work "sha' 11 be fn acrcii dance with Town of South
Windsor standards , all OSHA requirements, and the attached conditions.
Issued By Date Inspected -, 9 _____r Zrispected By
s /-
APPLICATION FOR DRAIN LAYERS PERMIT
TdWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WVVDSOR, CT
FEE$25.00
Location of proposed work: 91-JUOX� —0-0, Lot #
Street No. Street Name
Premises owned by: A?nplaec 14 0
Name of Firm: dn0 Lot.IdeA �• Phone: �¢l'-Fot)
Address of Firm: D u
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with *5�
Proposed Start Date f�7 Estimated time for completion j z�
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
is to be issued to � `�C 6 141le- 0 X the holder o
Permit ,f Drain
layer's License No. 1771 4Z Only holders of PI, 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
Licensed Drain Layer
Date: l -z " < 7