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HomeMy WebLinkAboutDrain Layers Permit 20 Hunter Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit,-No. 6667 Contractor WILCOX CONSTRUCTION CO ! Location 20 HUNTER DRIVE Address 535 OLD STAFFORD ROAD ! Type Work NEW SAN LAT TOLL.AND CT 06084 Phone No. (860)871-1839 Date Insp Needed ---- -- - ;[3aie ' Ins P T . ------ z: Time Insp Needed -- "�me Insp ' Inspected By , � - Work in Progress ---- , s ?"o:✓e` S�„✓� .��?i� ✓ _ _— — I I41pu �, Date 1 III 1 Permit No. Q 6667 Town of South Windsor , CT Permit. Date 08/29/1997 Drain Layer Permit Expiration Date 09/28/1997 Desdip : CONN FEE PAID #4776 Applicant Location Name WILCOX CONSTRUCTION CO Addr , �0 HUNTER DRIVE Addr . 535 OLD STAFFORD ROAD Owner , B&M ,ENTERPRISES INC TOLLAND CT 06Q84 . Phone No. (860)871--1839 1 s a "V," id Vicense issued b the The Dram Layer as5�,gned this permit h� al Y state and hereby agrees to a11, the terms and con.d'itiorrs set Earth in the attached 'Conditions . A 1 1 � work shall 'be_ i 1 accordance with Town of South Windsor standyard , all OSHA requirements, and the attached conditions. Issued B y i 'i t 1 e -- - I ._ _ :._ . - _ T -J- _ ? }. . -� - Date Inpecte 9/ —_— Inspected BY l J � APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT (p J TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINOSOR, CT FEE$25 00 Location of proposed work: ,-,9.-O 1y1Y77-'W ' Lot # 2011111 Street No. Street Name Premises owned by: K Name of Firm: cfca Y- 'r'vG Phone: 4t/ Address of Firm: ^�> 0 I cl s'�` C-"p2 f2�c✓ Tyr �eA 61 a7-'o 6c�f TYPE OF WORK: Lay House Drain, Repair House Drain Lay Main Lay,Lateral for Commercial/Industrial Building of acres Connection will be made with 4C cr U Proposed Start Datemated time for completion/ esti 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.,V�12j� G.�Co �' 2 the holder of Drain layer's License No. d o�Ve Ua. Only holders of PI,qe%;8a 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.Narne � � G Licensed Drain Layer Date: -2