HomeMy WebLinkAboutDrain Layers Permit 24 Hunter Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Perrmit No. 6669 Contractor WILCOX CONSTRUCTION CO
Location 24 HUNTER DRIVE Address 535 OLD STAFFORD ROAD
TypexWork NEW SAN LAT TOLLAND CT 06084
Phone No. (860 )871-1839
Date Insp Needed pate insp'
Time Insp Needed T'ime 'Insp.
Inspected By
Work -in Progress
I np,pt ._ _ —. Date
Permit� No. _ 6669 Town of South Windsor, CT
Permit Date 08/29/1997 Drain Layer Permit
Expiration Date 09/28/1997
DescYip: CONN FEE PAID#4776
I
Applicant Location
Name WILCOX CONSTRUCTION CO Addr. : 24 HUNTER DRIVE
Addr. 535 OLD STAFFORD ROAD. R&M ENTERPRISES INC
TOLLAND CT 0608,4 :
Phone No. (860 )871-1839
The Drain Layer assigned this permit has a va1fd l'`icense issued by the
state and hereby agrees to:44.'1` the terms 'and conditions set forth in the
attached 'Conditions ' . 'All, work shall ' be' in . aciborrancAe with Town of South
Windsor stand rds , all� OSHA ,requirements, ' and the attached conditions.
Issued By 1'Ii t 1
, )
Date Inspected __._ 9?— _ Inspected By _ - —
y, APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN A VENLTE
SOUTH WINDSOR, CT
FEE$25.00
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Location of proposed work:T�/�v��`,�-�? ,�J!-Pi��' Lot #,�'
Street No. Street Name
Premises owned by:
Name of Firm: Phone:
Address of Firm:. L31s �� 'rf'���✓ ��s � �T®�
TYPE OF WORK:
Lay House'Drain �Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with A dG'1
Proposed Start Date
vustimated 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. 4gll' ar/ E the holder of Drain
layer's License No. , �" 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. andfor ConnDOT Permit No.
IN
Signed. Print Name
Licensed Drain Layer
.Date: '