HomeMy WebLinkAboutDrain Layers Permit 1291 Main Street r' 1 TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7745 Cont:raCtor M R KO`ETHER PLUMBING & HEATING
Location 1291 MAIN STREET Address 97 HQPPEN RI):._.
Type Work RPR SAN LAT
;N.�W..HATFORD CT.<:p6057
Phone:No ($ .;D)379='8391,.:;.
Date Insp Needed 'Dz G crisp #s
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Time Insp Needed T1me-------------
Iss �i �
Inspected By
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Work in Progress
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Permit No. 7745 Town of South Windsor, CT
Permit Date O5/20/2004 Drain Layer Permit
Expiration Date 06/19/2004
Descrip: '
Applicant Lo�at`ion
Name M R KOETHER PLUMBING, & H:AT 1.29'1 MAIN 5TRZET
Addr. 97 HOPPEN RD dVaea; -HOWARA :ELI.ZABETH SMITH
NEW HATFORD CT Q>6057
Phone No. (860)379 2391
The Drain Layer`assigned tics p r£ kj }Vas' 5 t id lx:cenfie'issized by the
state and hereby agrees:.t4 �ithe terms and condktioris` et.::foth in the
attached 'Conditions' All wor]€ sha1.1 b ..icordastce wCh Town of South e
Windsor standards, aTl OSHAr quire[ttientsx:.and th.e atta`ched:dbnditions.
Issued By Tztle ¢ sec
�..-� --- -----------------
Date Inspected Inspected By _AC.Ct.v�.� —_ r
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
_ -TOWHAt�L____
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: /�9 �ql�
Street No. Street Name
Premisescaned-b .
Name of Firm.- A4, �> .Phone: O� ,
Address:of Firm:
TYPE OF WORK:
Lay Horse Drain : Repair House Drain
Lay Main-;-. Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 1 ��
Existing Water Supply: Public Water .7 Well
Proposed Start Date Estimated tune for completion o,
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. _ y. ,4'l, 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. Oh}oZ 00 6�0
Sign
Print Name: -
_ Licensed-Drain -
Date: O O
- ; ;Standard Fo=APermit NWLICATION FOR DRAIN LAYERS PERMrr.doc