HomeMy WebLinkAboutDrain Layers Permit 80 Kimberly Drive (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. ` " ` ` �,iT• CO INC
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Type Work NEW SAN LAT1:14.
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Permit No. 7893 Town of South Windsor, CT
Permit Date 03/29/2005 Drain Layer Permit
Expiration Date 04/28/2005 0- r^4,.:.
Descrip: INSTALL SEWER LATERAsL .0141ANDR;& PRI,VE
Applicant
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Name MACCLAIN CO INC '' dM�� A � 143.E KzI�ISiRL DR<yiVE
Addr. GLEN LOCHEN BLEg25
P.O. 149 ;p X v."r°. k
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GLASTONBURY E: 6 Q-3.33 f. vn s k ' ;
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Phone No. (860)633-1�"0 '6'v yff * S F}a >
z £� 4 3K.
',.d Cens� ' :;s ued by the
The Drain Layer;.•�Css/�gsrd f1
terms and coed fa�?YiS' §c.`;:.fnrth in the
state and hereby agrs., ;n'< lahe s:_ ;:qs` ! . n of South
attached 'Conditionk" A11 worI s £ y� 'o s w 'th T,ew
or standards,
ail OSHA;r'equi lte: ? f�z,;n r ?N a t ch e1`c6nditions.
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Issued By �'> ¢' of .._ — ---G
Date Inspected In 'iSe� ed By _________ _____ --- ---
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APPLICATION-FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Locafiion of proposed work: SO K,wti -
'bEa.[y � � Lot-#-11�
Street No. Street Name
Premises owned by: EiS
Name of Firm:- G lAi •'
tis2f Phone: 3 •663jo
Address:of firm:
!WE OF WORK: �dD25
- ay House Drain • Repair House Drain
y Main
Building oLa Laterarfor Gommeraal Indusb ai
----_acres
Connection will be made with !( SDctr
8dsUng Water Supply; Public.Water .
-- _ Well
. Proposed Start Date Estimated:time for Completion - -
ALL WORK-To BE IN ACCORDANCE WI .TOVYN OF SO UTH ALL.OSHA REQUIREMENTS AN!)OOND117ONS ATTACHED WINDSOR STANDARDS,
TO THE PERMIT
Permit-is to be issued.to CtAA
(o R o the-bolder lder o Drain .
Layer's License No. -yu "
wil( be Issued"a . Only holders of P-1 P-7 r W 9 licer(ses
permit. PERMIT WILL EXPIRE THrRTy(3 AYS AFTER
DATE OF ISSUANCE. The undeisigned Drain Layer.hereby agrees to
and conditions set forth in fine 9 all the Perms
Perntit and attached thereto. Applicant has received
Town Street Excavation Permit No.
and/or ConnDOT Permit No.
.CBYD No. Z.op o4 t o,iq__• - - -
Signed:,'
Licensed Drain Layer Print Name:' cS Rtt��
--Date: - --O S
:: Saridard Forms P
emU�\APPi t kTLON'FOR DRAIN LAY�ks ptjRkjT.-doo'
TOWN - OF SOUTH WINDSOR
SANITARY - SEWER LATERAL ''FIELD LOCATION
DATE OF 1 !
BUILDING 1 / ' i
STREET
SUBDIVISION:
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