HomeMy WebLinkAboutDrain Layers Permit 733 Nevers Road 750020 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 06/25/07 '
GIS ID: 62400733
FEE:
MUNIS 60.00
APPLICATION# 200 `:<`�'>`��>,`y
EXPIRATION DATE: 07/25/0
APPLICANT
ATION
NAME: JAMES THROWE DBA3
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kS RO A DADD RIVERSIDE DRIVE: � iAIAK THOMA S&SUSAN LERNONROCKVIL ; ROAD
III.:
�?INDS O CT
06074
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ONE
ONE 60-2 8 -8 9
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C3� r -RK DESCRIPTION: NEW SEWER �
THE DRAIN LAYER ASSIGNE
D TO THIS PtMIT:HA; '#1 V"`
�tSLJED..13 ;'THE>:S'I;;ATE AND HEREBY
AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTI 'N IE tA :' jS L' SHALL BE IN ACCORDANCE WITH-
THE TOWN OF SOUTH WINDSOR STANDARDS,AM.D HA T�f1 TSt„A I TTACHED CONDITIONS.
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ISSUED BY s 6/25/2007 8:31 AM DATE INSPECTED INSPECTED BY
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT-NO.: 1`500,20 CONTRACTOR: A-n5
LOCATION: ADDRESS:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: Q
WORK IN
PROGRESS:
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P .� �Sooaa
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" .. APPLICATION FOR DRAIN LAYER PERMIT
ao070o9/ TOWN OF SOUTH WIN'DSOR
pp PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: *) 33 1�_�wrsRc Lot
Street No. Street Name
Premises owned by: --ro rm l'1') ch r,le,
Name of Firm: A AV)5.51c, r- +�' L_ ►-t )a-. C Phone:
Address of Firm:- Uf r✓l r_1
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 3-'
Existing Water Supply: Public Water . Well--
Proposed Start Date vU o7Estimated 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 the holder of Drain
Layer's License No. 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.-2�7a 56 2
Signed: LPrint Name:_ Ja»► sr� �
Licensed Drain Layer
Date: C�J�wv�c�7
Standard Forms\Perm1ts\APPLICATT0N FOR DRAIN LAYERS PERMIT.doc
t _ TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: f
zo
BUILDING ADDRESS
STREET : A) er5 �-
SUBDIVISION:
NORTH ARROW75
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CONTRACTOR (PRINT) "� NAME OF CONTRAC R'S SUPERVISOR (PRINT)
o;Ls ju� 67
STREET ADDRESS SI TURE l
DATE .
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER