HomeMy WebLinkAboutDrain Layers Permit 11 Leah Lane (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6492 Contractor GERBER CONSTRUCTION CO
Location 0011 LEAH LANE Address 616 DART HILL ROAD
Type Work NEW SAN LAI VERNON CT 06066
'hone; tdo. ( 860 )875-6684
Date Insp Needed C
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Permit -No. 4 6492 Town of South Windsor, CT
Permit Ddte 10/11 /1996 Drain Layer Permit
Expiration bate 11 / 10/ ,1996
Descrip:
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Applicant; Location
i
Name GERBER" COiIST UCTIOrJ CO" tier (1`01 1 LEAH LANE
Addr . 616 DART HILL ROAD VE:LOPERS i_LC
.r
VERNON UT,,,06 f
Phone No. (860)875-6684
The Drain Layer, ass i gne� '1rYri s �,erm t t as a eta f i d 1 -i,r ense issued by the
state and hereby agrees to . � the .ter %`. Ind cvncfJticins set forth in the
attached 'Conditions ' .'. A l 1 ;tat r^k all bid; l h�actor Anc4 with Town of South
Windsor stand rds , all QrHf . requirements, and :tKe attached conditions .
Issued By - t'-�._. T t -- -- --- - ----- ----
`. -- -Date Inspect d ._—_�i�f�_ _»_. 'I n s p e c to d By __-----------.----
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
{ PUBLIC WORKS DEPARTMENT
TOWN HALL SULLIVAN
1540 AVENUE
SOUTH WINDSOR, CT
fFEE$25.00
Location of proposed work: 411 L P-P_L 41 Lot.#
Street No. Street Name
Premises owned by:
Name of Firm: �c, ,,. Phone: '
Address of Firm: 9- fly _l
TYPE OF WORK:
Lay House Drain_Z; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date !-// Estimated time for completion �l-
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to the holder of Drain
layer's. License No. l'J Z4$-L/ 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: