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HomeMy WebLinkAboutDrain Layers Permit 36 Judge Lane i TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6911 Contractor WILCOX, MICHAEL (EAGLE) Location 0036 Judge Lane Address EAGLE EARTHWORK SERV. Type Work NEW SAN LAT 101 N MOUNTAIN ROAD CANTON CT 06019 Phone ,No:,. (860)693-2027 Date I nsp Needed Itlit nsp. Time Insp NeededT: me 'Inp. - S No9F-tom Inspected By 4 o r k in Progress 9:c��- C� �cAT - G,ouk- k 't-- L i T F-1 -:59c-nonl S AAA-1 k�►Z� Tfa AW gdQ2IHI!ft '( o Z%30— ►NSTra1 ,, �"T: ?fr crC? TQ �(*us Coh mwyp ) 1-0 SusT p. i >-rAaTo> �- 4 ' �.ND is U CPnJTV_ACToR. WA .Sosmtr AS WJ1:1 Input Date / � /�S-�tJ�iY ScX3rsl�t�D f2.{Z,1018 6911 Town of South Windsor, CT Permit Date 11 /09/1998 Drain Layer Permit Expiration Date 12/09/1998 Descrip Applicant Location Name WILCOX , MICHAEL (EAGLE �` • As Or 0fl36 Judge Lane Addr. EAGLE EARTHWORK SERV t3 +ner &��yR CONSTRUCTION CO INC 101 N MOUNTAIN ROAD CANTON CT 06019 v ,` Phone No. (860 )$93-2027 � f The Drain Layer asgnd this pertn�t his valid 1 �4cense issued by the state and hereby agrees td11 ='the :trm and e�r�dzt�gins set forth i n the attached 'Conditions' : A1i ©rk shah a8cance` with Town of South Windsor standards, ,a1 1^ €JSF ent _d t ' ached conditions . Issued B ,'T i :� Y . Date Inspected 1t�1s nspecte — --- ' i TOWN OF SOUTH WIND SOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS `f' /; STREET SUBDIVISION: NORTH ARROW --- --- 1 I t a : _ 2 i !! t E . • i - M1s , i ' r , i + 4 L_ ry , t , ir- 6/Is CONTRACTOR (PRINT) �� G�° ' �#M NA 0 CO TRAC T OR'S SUPERVIS R (PRINT) r STREET ADDRESS SIGNATURE `� DATE TOWN STATE ZIP INSPECTED BY TOWN TELEPHONE NUMBER DATE WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER APPLICATION FOR DRAIN LAYERS PERMIT 6911 TOWN OF SOUTH WIIVDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work IS6 4reet Lot #Street No. Name Premises owned by: ���`440 ,`� 41,e Name of Firm: " d Phone: S -� Address of Firm: 1/, Lay House Drain Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Proposed Start Date (-Il Estimated 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 6 A '� f° 1 C X the holder of Drain layer's License No. 27,9 l(6 Only holders of P1, 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 C Licensed rain Layer Date: f �` �'�93