HomeMy WebLinkAboutDrain Layers Permit 150 Nevers Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 73 4 Contractor J & H SLATER CONST CO
Location Address 75 COMMERCE WAY
Type Work RPR SAN LAT SOUTH WINDSOR CT 06074
0-hone No. (860)528-5252
Date Insp Needed (,J41 cxt� pate h8p.
Time Insp Needed y T►me
Inspected By
Work in Progress
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Input' Date
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Permi-t No. 7314 Town of South Windsor, CT
xp'C t- Date 07/24/2001 Drain Layer Permit
ation Date 08/23/2001
De-scrip: SEWER EXTENSION TO ROTARY PRESS BOX
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Applicant Location
Name J & H SLATER CONST CO Addr. , 01.50 NEVERS ROAD
Addr. 75 COMMERCE WAY "Qwrier `WUT-H WINDSOR TOWN OF 41
SOUTH WINDSOR CT oab14 .
Phone No. (860)528-5252
The Drain Layer assigned 3thi s pertt - t, has .vela d license issued by the
state and hereby agrees to a `'l 'the te"rfto .and oanc i.tio s set forth in the
attached 'Conditions "'.' '-A1'k "arork shall:.b '-fin actor-dance with Town of South
Windsor standards, all OSHA"'rogvirements and :'the attached conditions.
Issued BYCER,.�I� T�t1e � Lx-i c
Date Inspected Irtepected B'y
:. 4 -73)4-
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 proposed work: lsr-� �Euefi-s Lot #
Street No. Street Name
Premises owned bY ! a ( ID-
e�C
Name of Firm:, WC, Phone: S28 �Z_
Address of Firm: 16 UJ(IV CT.
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 � -
Existing Water Supply: Public Water. X Well
Proposed Start Date .l- 6-61 Estimated time for completion .z t(-S
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 75ca-leL (SSA&-. 06. the holder of Drain
Layer's License No. 'Z 7 7`f 4 . 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 a d attached thereto. Applicant has received Town
Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. -2-00 j 2.`l0 2-ygZ
Signed: Print Name: JVP&,A-rE Z.
'Licensed Drain Layer
Date'
Standard Forms\Permits\APPLICATLON FOR DRAIN LAYERS PERMIT.doc
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