HomeMy WebLinkAboutDrain Layers Permit 10 Leah Lane .r
. '� TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6753 Contractor GERBER CONSTRUCTION CO
Location 00.10 LEAH LANE Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
,F _ Pk�o o. (860)875-6684
Date Insp Needed
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4V $ I
Time I nsp Needed (�
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Itp �� C Date
Permit No. 6753 Town of South Windsor, CT
Permit Date 01/26/1998 Drain Layer Permit
Expiration Date 02/25/1998
Descrip: LOT 9
I
Applicant Location
Name GERBER CONSTRUCTION CO A,ddr.> 0049 LEAH LANE
Addr. 616 DART HILL ROAD EVELOPERS LLC
VERNON CTf0 _ F
Phone No. (860)875-6684 ' �
� a 1S
The Drain Layer as$T9�h0(d= E i ,. license issued by the
� s
state and hereby agres i the nd �� 7r�s set forth in the
attached Conditions , acca� with Town of South
Windsor standards, a 1 I sO�F�k`�qt � h ehed conditions.
Issued By < ' M t A,1, ` t
Date Inspected
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WIIVDSOR, CT
FEE$25.00
Location of proposed work 'i-I � Z- RI-1 h. Zal-e-- j Lot #
o
Street No Street Name
Premises owned by:
Name of Firm: CS Phone:
Address of Firm: aw W
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 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
6
Permit is to be issued to z � .�
the holder of Drain
layer's License No. , Z� —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.
Si ned: 1 Print Name
9
Licensed Drain Layer
Date: