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HomeMy WebLinkAboutDrain Layers Permit Nevers Rd at Collins TOWN OF SOUTH WINDSOR INSPECTION REPORT it Permit No. 6701 Contractor INCORPORATED CONSTRUCTION Location NEVERS RD. AT COLLINS CROSSINGAddress 12 NORTHWOOD DRIVE j Type Work SAN MAIN BLOOMFIELD CT 06002 Phone, No. (860)242-0150 Date "Insp Needed � Date Insp,. { Time Insp Needed T1taiensp j Inspected By t Work in Progress7,77 l000l � i _ I Date Permit No. 6701 Town of South Windsor, CT Permit Date 09/30/1997 Drain Layer Permit Expiration Date 10/30/1997 Descrip: INSTALL DOGHOUSE MANHOLE OVER EXIST. MAIN Applicant Location Name INCORPORATED CONSTRUCTj�ON ,AddrII=VERB RD. AT COLLINS CROSSING Addr. 12 NORfHW00D DRIVE BLOOMFIELD CT 6a Phone No. (860)242-0150 s � Etas s s The Drain Layer asiestsb } i fiiense issued by the state and hereby agrees" t ' therrnd criatacr� set forth in the attached 'Cond i t i on A � tk e#�a 1 � act aef w i th Town of South Windsor standards, al fil q#H�►$ qui e s t 3rt�1y` i r t�ched conditions. gg 4, r t Issued By "Ti Date Inspected /l) /fTso,r— 'pep y _=8 -� APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 C°cuus (toss<<�(� Location of proposed work: /ecv S Nt Lot # Street No. Street Name Premises owned by: C. Name of Firm: Phone: Z�(Z ©<x-6 Address of Firm: /2 �<® ...,,�6 /��• � �� blo0[S'Z TYPE OF WORK: Lay House Drain Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with �oy �� /'�Q«4e(� Q Ilse 9XlST P Pro osed 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 Gh �� z �vc4 C*"?! " the holder of Drain layer's License No. Zo FO6 7 P7 Only holders of Pl, P & W9 licenses will be issued a permit. Permit will expire thirty (30) days a r 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 Licensed Drain Layer Date: G