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HomeMy WebLinkAboutDrain Layers Permit 46 Loomis Road I TOWN OF SOUTH WINDSOR INSPECTION REPORT i Permit No. 7847 Conkrac*orFttJACQU 'a C.QNSTRUCTION (JOHN) Location 0046 LOOMIS ROAD ydrer67c '= Type Work NEW SAN LAT TN-900P,'�'£::_,06074 Date Insp Needed Date fiRt15 :. ti Time Insp Needed a.k Inspected By Work in Progress '�yy, % �� s tt8: ♦ f` 'z ^.;f� o:.�.' S�,.te}`�<;� F ... i i �� �kt�G Inptx>>< �t mate i 1 3 i i 3 t { Permit No. 7847 Town of South Windsor, CT Permit Date 10/22/2004 Drain Layer Permit Expiration Date 11/21/2004 Descrip: LAY HOUSE DRAIN A ,•<Applicant :` °'; PP f � LDataon Name JACQUES CONSTRUCTI S "` � r JflHN) i>:sa�° fka f 1 C3O 976 ?�'Q.�D j Addr. 67 RIDGE ROAD 4: s 'u gr CLARK,' AL.�Y. INC Oe SOUTH WINDSOR s Q'T 060%4 Phone No. (860)432-102 ' The Drain Layer a2-- Y �r Y 9�} � X i �i e a�sAed by the state and hereby agree .tg lthe erdts`'`"arid ctYic�iY©u}�yye `;,.forth in the attached 'Conditions' < k y � c` an Yd � v > h Town of South � Windsor standards, aT1 OS�IA �rg^cuix° [ � s� � �d3ie at; ate ,coPiditions. ? :fv< Issued By ...t. _.. , N Date Inspected ""°" APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: —6��a /00611 r Lot #�_ Street No. // Street Name Premises owned by: � ) 0 Name of Firm: Phone: E Address of Firm:— TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with S D 3S' • Existing Water Supply: Public Water. Well Proposed Start Date J Estimated time for completion D� 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 � �s �j IlilcTcon the holder of Drain Layer's License No. a 0 T9 3 o 6nly holders of P-1, P-7 or W-9 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. CBYD No. Signed: C�L6 �caE' Print Name: Lice ffeb4in Layer Date: Standard fo ms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH ANDSOR SANITARY SEWER LATERAL FIELD LOCATION 1A OF CONSTRUCTION: - BUILDING ADDRESS 4L STREET SUBDIVISION: �P l MIMI; ima MOONS ON W&W ■1 Cai r� I �► ■ ■■ Liffl now was 00 1 1' 1 1�! 1• 1• '�l� IM1 n 1• A 1• 1 ' 1 / • %I� i�/ . i 1. IL WHITE - 1 CONTRACTOR YELLOW — CONSULTINGDEVELOPER