HomeMy WebLinkAboutDrain Layers Permit Loomis Road - Main L � (] �N OF SOUTH WINDSOR INSPECTION REPORT
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Pe,rmi.t No.�' 7331 Contractor J & H SLATER CONST CO
Location LOOMIS RD &CASTLEWOOD DR Address 75 COMMERCE WAY
Type Work SAN MAIN SOUTH WINDSOR CT 06074
P.hbne No. (860)528-525244
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Date Insp Needed nsp,
Time I nsp Needed g
Inspected By.
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Input . �if��.- , Date .°° / �
Permit No. 7331 Town of South Windsor, CT
Permit Date 09/13/2001 Drain Layer Permit
Expiration Date 10/13/2001
Descrip: INSTALLING MAIN LINE SEWER
Applicant Location
Name J & H SLATER CONST CO Addr�. 'LOOMIS RD &CASTLEWOOD DR
Addr. 75 COMMERCE WAY C3wner ,}MJ CONSTRUCTION INC
SOUTH WINDSOR CT6t}
Phone No. (860)528-5252 f`
The Drain Layer astf,ned., thi permit as a,, valid license issued by the;
state and hereby agre a tt l,l,v tf � °� t nd o n ixtt ons set forth in the
attached 'Conditions' A l '# �ork shal 1 be"=� h acco"rgarice with Town of South
Windsor standards, all '{bSHA:' qci rinta, ;;and tYi attached conditions.
Issued By _ ��.� � fi�tl'
Date Inspected �f« _ 1-v%J A t4d By= _
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. . 47331
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work:��WA1& [kac {�qgC 3 Lot #
Street No. Street Name
Premises owned by; c 94 �1
Name of Firm:_ Phone: S -S'ZSZ-
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 iEs P VC,
Existing Water Supply: Public Water Well
Proposed Start Date ( (7 d t Estimated time for completion 2- d0.
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 4M(L the holder of Drain
Layer's License No. 207 749 Only holders of P1 or P7 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 E c ation Permit No. and/or ConnDOT Permit No.
CBYD No. �8 Zug
Sign Print Name: ST��
Licensed Drain Layer
Date: l3 0 l
\ Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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