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HomeMy WebLinkAboutDrain Layers Permit 1668 Main Street TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7328 Contractor JAMES THROWE Location Address VANS SEWER & SEPTIC Type Work NEW SAN LAT 97 RIVERSIDE DRIVE VERNON CT 06066 Phone No. (860)289-0095 Date Ins Needed �� C1c-c.. f3 G' ., O p � a e: Insp.• � 7� 1 : Time Insp Needed LI/'� �. Gs � Time Insp i Inspected By > Work in Progress 1-2=6° /�iuo*� / L �� � rE' �S >wjs- 9 z " T T6i✓ar,f��LrU6�Q� 1�rvvd fn- ' i���,vsrroG .. ' /' ' I Input � � Date 1> i i Permit_ No. 7328 Town of South Windsor, CT PerYhttr lute 08/17/2001 Drain Layer Permit Expiration Date 09/16/2001 Descrip: Applicant Location Name JAMES THROWE Addr. 1668 MAIN STREET Addr. VANS SEWER & SEPTIC QwnerLINQA HENDERSON 97 RIVERSIDE DRIVE VERNON' CT OEO$6 Phone No. (860)289-0095 The Drain Layer assigned th,ls permit his 6 ..,r ail id license issued by the state and hereby agree`: tea 11 'thy, terms and caridi ti ons set forth i n the attached 'Conditions' A 1 T ;Aror,k shal`i to .i n accordance with Town of South Windsor standards, a148HA,' yt `neht$ and tie. attached conditions. Issued B Y i t �. 7 (hN�v t e t D /,}G�I Jz'V�. ft(t e Date Inspected U� l o /M Inspected B __ 732 6 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 work:proposed ro 1✓� Lot # P P �� Street No. Street Name Premises owned by: L,,v� 1 �rw n Name of Firm: Phone: Udy-� Address of Firm: 32/? �� - � TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water Well Proposed Start Datel k a1 Estimated time for completion I$14 d- 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. Q0k(.v1W 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 Excavation Permit No. and/or ConnDOT Permit No. CBYD No. Signed: ZPrint Name: Licensed Drain Layer Date: 1 G \\ standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc w , TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 7 a t BUILDING A 61 ADDRESS . STREET NORTH ARROW i t t t • : , i i, , { , • L ! i 4 " - " T' i J +hr CONT ACTOR (PRINT) N C O RACT RCS SUPERVISOR (PRINT) �? � Lkx STREET ADDRESS SARE DATE. TOWN STATE ZIP INSPECTED BY TOWN aF7&7& DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER