HomeMy WebLinkAboutDrain Layers Permit 60 Laurel Street • TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6476 Contractor SKIPS SEPTIC
Location 0060 LAUREL STREET Address 27 MUDDY BROOK ROAD
Type Work NEW SAN LAT ELLINGTON CT 06029
Phone No. (860)875-2332
Date Insp Needed Uate 1nsp' ��—
Time Insp Needed — Tim�
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Inspected By
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Permit No. 6476 Town of South Windsor, CT �{
Permit Date 69/11/ 1996 Drain Layer Permit
Expiration Date 10/11 /1996
Des61--ip :
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Applicant Location
Name SKIPS SEPTIC Addr'., 1060 LAUREL STREET
Addr. 27 MUDDY BROOK ROAD Owner ROSSILLO JAMES B & SUSAN SURV
ELLINGTON CT 06'029
Phone No. (860)875-2332
The Drain Layer assigne.d this permit has a Vaifd 1i'cense issued by f,fie
state and hereby agrees t, „a11 the term end co,6'4i,66`nie. set forth in the
attached 'Conditions ' * A 1 ti wo k sha I 1 ;,btu in accdr'dance, with Town of South
Windsor standards, allrsquiretlent � And t#je� ttached conditions-.
Issued B i
Y t �1t
Date Inspected __ � `� InspctetB}+ � ��
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: 6 d I q a-R E/ ( Lot #
Street No. Street Name
Premises owned by: Stt SAS/ �o s S/t 1 O 4- JR7Lt c S
Name of Firm: S'etPs S F f'�c sE/z ✓i c F- Phone:. &S'7 S--a 3 3
Address of Firm: a7 F/-4-4NG70 AJ
TYPE OF WORK:
Lay House Drain_ Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with PVC 6,2),v- 3 ,5--
Proposed Start Date `� /l 96 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 CO YD --,0- 9 6 3 7 0 0 2 2 3
Permit is to be issued to 7421, w Al-k-cfZ the holder of Drain
layer's License No. 0 0 a o ?17�5'-. 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 F/3
Licensed Drain Layer
Date: 9 f�