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HomeMy WebLinkAboutDrain Layers Permit 1608 John Fitch Boul (3) TOWN OF SOUTH WINDSOR INSPECTION REPORT :)erm ,t No. 6758 Contractor CANTON VILLAGE CONST CO Location 16�8 JOHN FITCH BLVD Address P.O. BOX 556 Type Work NEW SAN LAT = _ CANTON CT 06019 (�oe o. (860)693-0122 Date I nsp Needed �� /� /�. Time Insp Needed Inspected BY oW ,a, Mork in Progress _q ka, �� fi sa v Lcs� lQ� t :RgF_t,a t �> 17 R , a Date Permit No. 6758 Town of South Windsor, CT Permit Date 02/11/1998 Drain Layer Permit Expiration Date 03/13/1998 Descrip: CONN PD. WITH #6720-PLAN CHANGED- DISCONN OF EXIST BLDG LATER Applicant - Location Name CANTON VILLAGE CONST COS H Addt �ni t8 JOHN FITCH BLVD Addr. P.O. BOX 556 F � rs ' CC = WELDING & INDUSTRIAL SUPPL CANTON CT Obb-I'le9 Phone No. (860)693-0122 , The Drain Layer ass p44masTd license issued by the ! state and hereby agree" i ;¢ th � nd to ' tJsrs set• forth in the attached 'Conditions ' A 'c1k s#hit acac with Town of South F Windsor stan4ards , alp HtgC # ! P � ched conditions. 1. 14 f kv Issued By a d ue Date Inspe ed sqe4 Py / -- — =� STATE OF CONNECTICUT This is to certify that under the provisions of the General Statutes the following person or qrm.Is licensed or registered. PLUMBING & PIPING BOARD PLUMBING LTD CONTRACTOR P7 j D11�TTIEL K BAHRE C/O CANTON VILLAGE CONSTRUCTION CO PO BOX 556 LIC./RE .N FECTIVE EXPIRE 00208541 11/01/97 10/31/98 lSIGNED: TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: r L �'� BUILDING ADDRESS STREET + SUBDIVISION: NORTH ARROW I f j ( ( i + _ , I —4 , _a + t ! I t 1 rn , , f f t- -� —t i , s T CONTRACTOR (PRINT) NAZILOFO�RAC OR'S SUPERVISOR RINT) �- cy \ �11 STREET ADD SS SI TURE c�:-z si C`1 CY�t jT_ DATE TOWN STATE ZIP INSPECTED BY TOWN CD I as DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WIlYDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN A VENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work J©hyi ,'�Cifi �G.17Lot # Street No. Street Name Premises owned by: cc — Name of Firm: v4,.Phone:© --��`3 - ,q 12 Address of Firm: del 9 TYPE OF WORK: Lay House Drain Repair House Drain ; Lay Main ; Lay Lateral for Commercialfindustrialr Building of acres Connection will be made with G'�M G— G Proposed Start Date / /ff Estimated time for completion i� 8 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 e the holder of Drain layer's License No. nn�,c w`�/ . Only holders of Pl, P7 & 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 Name << Licensed Drain Layer Date: /