HomeMy WebLinkAboutDrain Layers Permit 60 Davewell Road 750045 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER DRAIN LAYER PERMIT
DATE: 08/20/07
GIS ID: 6100060K<,.FAl
MUNIS APPLICATION# 200701325 `>. FEE: 60.00
5 >;>' EXPIRATIO
N DATE:
09/19/07
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NAME: SKIP *- ATION
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ADDRESS: 27 MUDD ;Fj<=.,;;:,: ks. . A'VEWELL ROAD
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THE DRAIN LAYER ASSIGNED TO THIS
. TII STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTE IN 1 H '>ATT e%�I�� �I(��S> Lr�VG>RI�SHALL BE
IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS;AFL vy ND T,.H0ATTACHED CONDITIONS.
ISSUED BY DATE 1'SPECTED INSPECTED BY
8/20/2007 10:23 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 75 c�
CONTRACTOR; ILF
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 9 I 17 /c?
INSPECTED BY: 63 )
WORK IN
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W/2007 Town of South Windsor INPSECTION REPORT 07
perm;t_-e 7SO0 1f.5
APPLICATION FOR DRAIN LAYER PERMIT
Epp/ 10070/3a�s TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: /o 3,4vew ALL Lot #
Street No. Street Name
Premises owned by: \oM a o X_E_
Name of Firm: rf S S� F'77 C Phone: '37 VZ 3 3 Z
Address of Firm:- 0 • $dx 2 '1 L tAl Goo
TYPE OF WORK:
Lay House Drain X ; Repair House Drain
.Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with PUC
Existing Water Supply: Public Water Well X
Proposed Start Date Estimated time for completion
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 -_rdP1 4vA1_1CO2 the holder of Drain
Layer's License No. 2® 1,7 z s— Only 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. a oa-7 3 3 0 3 4-o 2.,
Signed: Print Name: y -77*7,4AH
Licensed Drain Layer
Standard forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FfELD LOCATION
DATE OF CONSTRUCTION: ' /'7- 0-7
BUILDING ADDRESS UT N �N56yZ
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TOWN STATE ZIP INSPECTED BY TOWN
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TELEPHONE NUMBER
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YELLOW - CONSULTING ENGINEER / DEVELOPER