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HomeMy WebLinkAboutDrain Layers Permit 15 Loomis Road ' TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7728 Con tr;g. >t "`7ACQ'E-EZ.,,CONSTRUCTION (JOHN) Location 0015 LOOMIS ROAD AMregsq. 67 M-.T) Type Work NEW SAN LAT !`f Ua` OUT fY VF :NI OR ;T. 06074 ::}hone » fit. �j 4 G: Date Insp Ne e an iw y f% f�. Time Insp Needed m , ., v 8 3 In c .. s e ted B y. �i r.:a. Work in Progres -77 s m x " y ------------- ,. r Permit No. 7728 Town of South Windsor, CT Permit Date 04/07/2004 Drain Layer Permit Expiration Date 05/07/2004 Descrip: CASH $52.50 CK 12908 .,$'95c>�0, Applicant 4on A � PP ONSTRUCT 'ON""`!JY R',ADr`::; Name JACQUES C 1 ( N� Addr. 67 RIDGE ROAD ( r IRK MITI- .33C SOUTH WINDSOR Cf 06.07j/' Phone No. (8 6 0)4 3 2-18:.52� ;' "• >. >,,....>:;.... .. .. �Y d 1�v:�en sued b th e 'd u The Drain Layer �s::p::s�r�e-l 'tl''�s<T}'�� :» �':: > Y 7 A, ='n >}::�Et:fo`r"h in the state and hereby agr_.ees;tt`:::1F.1 th`e'` rtri¢' wiz"t9`" cY; t}v :<:: attached 'Conditions`3.:,:,A>>31'<ry✓ox:1� �k����' �2�t�.�» T'Qv�n of South � Windsor standards, a1 OSHA<re` urznS':, '; d".. k;'s-''a'CC .kied corzclitions. is : ,1 v3 Issued Byf i � Titl -- — — ----------------- Date Inspected __�'7'__ ' >>T a1 w —BI y 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: /5- Lot # Street No. treet Name Premises owned by: . Name of Firm: Phone: o6ag Address.of Firm: . /i TYPE OF WORK: Lay House Drain ✓ Repair House Dram , Lay Main ; Lay Lateran for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water Well Proposed Start Date 1117164 Estimated time for completion ALL WORK-TO BE I ACCORDANCE W1TH*TowN OF SOUTH.WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to Jo� T :Tcays -the holder of Drain Layer's License No. 0883© my 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: - Print Name: L7 icense rai er Date: standard Fbi'MAPe iMAPPLICATION FOR DRAIN LAYERS PERM1T.doc