HomeMy WebLinkAboutDrain Layers Permit 501 Miller Road (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6654 Contractor PIPPIN SEPTIC SERVICE
Location 0501 MILLER ROAD Address 37 WOOLAM RD
Type Work NEW SAN l_AT EAST N1TlvDS':? CT OGO 0
P o�i' .1 c) . (860 )623-231 3
Date Tn Needed
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Permit No. 6654 Town of South Windsor, CT
Permit- Date 08/01/ 1997 Drain Layer Permit
Expiration Date 08/31 /1997
Desciip: CONNECTION FEE PAID #4764
Applicant Location
Name PIPPIN SEPTIC SERVICE Addr . ; 0501 MILLER ROAD
Addr. 37 WOOLAM RD Owner ` GERLT EL.AINE D li
EAST WINDSOR CT 0088 1
Phone No. ( 860)623-2313
3
The Drain Layer ass i 9119d th l's permtt. Eras a'Yal"-fdt l i cense issued by the
state and hereby agrees to a11 'the terms and conett=ions set forth in the
attached 'Cond i t i ons ' : A l V.
;�wali* shall _be i' accsirdanae; w i th Town of South
Windsor standards, all 08FA re6qu retnents -And t# s tatt4ched conditions.
Issued By-,—
Date Inspected y7 Inspected By —
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APPLICATION FOR DRAIN LAYERS PERMIT
P
TOWN OF SOUTH WINDSOR f
PUBLIC WORKS DEPARTMENT
r TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: t;-,O/ f'l `/cam A/? Lot #
Street No. Street Name
Premises owned by: u/`G
Name of Firm: Awt: t-So Phone:. e66 62_
Address of Firm:
TYPE OF WORK:
Lay House Drain_Z1. Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with fa
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
i
the holder o Drain
Permit is to be issued to ��, c� f
layer's License No. A(f 3�p'7 i' Only holders of PI, P7 8b 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 Bl i n h" do
Licensed Drain Layer
Date: '?w11 j