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HomeMy WebLinkAboutDrain Layers Permit 681 John Fitch Boule TOWN OF SOUTH WINDSOR ,INSPECTION REPORT Permit No. 6759 Contractor H. W. LEVACK CO. Location 0681 JOHN FITCH BLVD Address 49 MASCOLO ROAD Type WoYk RPR SAN LAT SOUTH WINDSOR CT 06074 Phon6�kNo. (860)528-0131 Date Insp Needed "Z �� Date In,sp:Fzz Time Insp Needed ,Time; Insp: Inspected By �� i�'eri+ Work in Progress �.�� y�• �� !O fL �B/+7/7�'4�t"�f�//rG`° O� �.�,r{r'�7r A'!��`//b �o ,tee I t�ti cS �Z-- Date - �d�t'. �.r►�s //��'N��sP ��fj�Y J�tr�.,�!r�q, ®���s✓s��) /���✓��f6C'�'oc� !^` 's� Permit No. 6759 Town of South Windsor, CT Permit Date 02/19/ 1998 Drain Layer Permit Expiration Date 03/21/1998 ' Descrip: REPAIR SEWER LATERAL Applicant Location Name H. W. LEVACK CO. � � ed� �06'81 JOHN FITCH BLVD Addr. 49 MASCOLO ROAD - 4VI� GS BANK OF ROCKVILLE & FDI SOUTH WINDSOR CT Phone No. (860)528-0131 J� � NJ- The Drain Layer as 7 :ti s `' i ense issued by the ' set forth in the state and hereby agre ¢' = tk�te .nd attached 'Cond i t ions' 1 k. ► ac ain with Town of South Windsor standards , alr o$ ' q d a ched conditions . a Issued By a T � � . Date Inspected -- APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR 6 • PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work 6v[ 50W­) FITLl1 �ooLrZVA9D Lot # .S1 Street No. Street Name Premises owned by: �� Name of Firm: Phone: 2 l� Address of Firm: TYPE OF WORK. Lay House Drain Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Proposed Start Date�-5'?� iEstimated 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.CC_.© 56-_ Only holders of P , P7 W9 licenses will be issued a permit. Permit will expire thirty (30) days a er 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 Lic ed Drain Layer Date: v2 `'