HomeMy WebLinkAboutDrain Layers Permit 10 Hunter Drive "f TOWN OF SOUTH WINDSOR INSPECTION REPORT
Perrp)AY,.No. 6746 Contractor WILCOX CONSTRUCTION CO
Location 10 HUNTER 'DRIVE Address 535 OLD STAFFORD ROAD
Type Work NEW SAN t_AT" TOL-L.AND CT 06084
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Permit No. 6746 Town or South Windsor, CT
Permit Date 12/22/1997 Drain Layer Permit
Expiration Date 01/21 /1998
Descrip :
Applicant Location
Name WILCOX CONSTRUCTION CU Addr .< 10 HUNTER DRIVE
Addr . 635 OLD STAf=FORD ROAD Owner L3&M ENTERPRISES
TOLLAND CT 06f)" 4
Phone No. (.860)8"71-1839
e
The Drain Layer ass i gnetf th s permit has a ya'i Id", :1 i tense issued by the
state and hereby agree! tt ;, 7;1 tine termt and �onci t.t tdn"s set forth in the
attached 'Conditions ' .- A :w�ri� shy # ac �rdatlde� with Town of South
Windsor standards , al 1.. 'O` Fi{Ar r` qUI rA eats, no tyre at ched coed i t'i ons .
Issued By _- � �'�� = � � a tAO
Date Inspected 1 ��_ � 7__.. _ 11's P
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
+ SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME 0 ONTRACTOR'S SUPERVI OR INT)
al
STREET ADDRESS / GNATURE
6*LZ /��z Z/�� ���-� DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT # ?
TOWN OF SOUTH WINDSOR ;4-6
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: Lot # 3�
Street No. Street Name
Premises owned by:
Name of Firm: Phone:
Address of Firm:QS 7 7>-S- a e'l ST /�/r c✓ TrT,I�����c✓C'T a>c�d��
TYPE OF WORK:
Lay House Drain �; Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres _
Connection will be made with 6
Proposed Start Date% � timated time for completion �d
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 /�.�.���G �����>' S~� the holder of Drain
layer's License No. ae ,51 0 Only holders of Pl� & 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. r ConnDOT Permit No.
Signed: Print
Licensed Drain Layer
Date: 12 �� �'