HomeMy WebLinkAboutDrain Layers Permit 28 Hunter Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6671 Contractor WILCOX CONSTRUCTION CO
Location 28 HUNTER DRIVE Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phone ,No. (860 )871 -1839
Date Insp Needed 1ate ,risp; __ � 1�'
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Time Insp Needed Tmer I'r5sp. 1;
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Permit No. 6671 Town of South Windsor, CT
Permi t, Date 08/29/1997 Drain Layer, Permit
Expiration Date 09/28/1997
9escrip:
Applicant Location
lame WILCOX CONSTRUCTION CO Addr . 28. HUNTER DRIVE
Addr. 535 OLD STAFFORD ROAD Owner `8 & =M ENTERPRISES
TOLLAND CT 06084 ,
Phone No. (860)871-1839
The Drain Layer assigned :this permtt. has a- valid license issued by the
state and hereby agrees to a11, the ter'me And 'cohdftionz set forth in the
attached 'Conditions ' ' `A l 1. w 1 shall .he :�i'n accar� nce with Town of South
Windsor standards, all OSHA, .requirements, and th4=.attached conditions .
Issued BY �`� _ it,l e ---
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Date Ins ecte. / 17 Inspected By
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 Lot #
Street No. Street Name
Premises owned by: , r�'14z_
Name of Firm: as�� Phone:
Address of Firm: `-" 8
TYPE OF WORK:
Lay House Drain- �"l�'J epair House Drain
Lay Main y Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Da t stimated 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 the holder of Drain
layer's License No. cr d Only holders of PlBa W9 licenses will be
issued a permit. Permit will a Aire 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: -S Print Name`j •�C�/ rr�
Licensed Drain Layer
Date: