HomeMy WebLinkAboutDrain Layers Permit 60 Madison Way a
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permiit o. 6617
Location 60 MADISON WAY Contractor JMJ CONSTRUCTION CO.
Type, Work NEW SAN LAT Address 658 ELLINGTON ROAD
SOUTH WINDSOR CT 06074
PhOrle No. (86() )5- 8---7869
Date Insp Needed _ '
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Time Insp Needed
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Permit No. 6617
Permit Date 06/1 / 1997 "[own of South Windsor, CT
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Expiration Date 06/21/ 1997 Drain Layer Permit
Descrip: LOT 25 PM2
Applicant
Location
flame JMJ CONSTRUCTION CO.
kddr. 658 ELLINGTON ROAD Addr. 60 MADISON WAY
Owner DART-; HILL REALTY
SOUTH WINDSOR CT 06074
'hone No. (860)528-7889
The Drain Layer assigned this
state and hereby agrees to Ali ttense issued by the
attached 'Conditions ' . Al work shal"7 'he in accordance with Town hofnS the
out
'Nir7dsor, standards , all, OSHA "requir'ements, and the attached conditions. ti
3sued By
Ti'tte '
ite Inspected .I
Iraspectetl By -- --
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: Lot #
Street No. Street Nalme
Premises owned by:
Name of Firm: Phonej4 '— ;
Address of Firm:
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main V; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date'5Estimated time for completion JJ
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. t'1 jq Only lders of P1, 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 J01. C?U
ices d Drain Layer
7",
Date: - '�