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HomeMy WebLinkAboutDrain Layers Permit 25 Norton Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7165 Contractor BARBER UTILITIES L. L.C. Location 0025 NORTON LANE Address P.O-BOX 331 Type Work NEW SAN LAT . ELLINGTON CT 06029 Phone No. (860)872-2330 Date Insp Needed . 77q 1r,cj Time Insp Needed T#me Insp• Inspected By Work in Progress Input Date 7 11-mom_ PeriAlt No. 7165 Town of South Windsor, CT Permit Date 07/11/2000 Drain Layer Permit Expiration Date 08/10/2000 Descrip: Applicant Location Name BARBER UTILITIES L. L.C,� Ad tr., 6025 NORTON LANE Addr. P.O.BOX 331 ,� ,..QWner MA6DONALD JAMES M JR F ELLINGTON CT Phone No. (860)872-2330s' ;j. The Drain Layer ads i�r�ede 1;hxs per�ri' ' has u�tl 1 ti cense issued by the state and hereby agrees to, 11 the erM's and c�.rtIitibns set forth in the attached 'Conditions' . All rk n ar lsn;p with Town of South Windsor standards, all etta ched conditions. Issued By �. VW'j A4' A ( � Date Inspected _ l8 a Inspeote.ci �`y 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:2, /-)of i_>,0 t Lot # Street No. Street Name Premises owned by: -7 IMC— 5 64ACLD,tiftD Name of Firm: -!F�a<-6� rYTI L_� , Phone: 67Zs-2 33ca Address of Firm: i2o „up Ems(0G"A-) �- TYPE OF WORK: Lay House Drain- Repair House Drain Lay Main Lay Lateral for Commercial/Industrial Building of acres Connection will be made with �� 3S� Existing Water Supply: Public Water Well Proposed Start Date._'] (d 00 Estimated time for completion Z -Dit-qS 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 -3)&yt- Zi-_FrLVEYZ the holder of Drain Layer's License No. Oo Z2 e3s'-I 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. Gov Zgoo 9')o Signed: Print Name: �/��� 5719✓ �S License er. Date: oa Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 7 _ /8 —� BUILDING ADDRESS ZS 0093MV LAAA5 STREET : 25 SUBDIVISION: NORTH ARROW f r t 1 ' 1( L7 f t a ti lz El g 1 9 . 1 1 I r �__ I � I �_.__I _•# � r ( t �__._ _._._I i I i r i � �_a..+_. i j}- s L...._......... ..i_ Bfh2QE,¢. urn.Li rnG�S 5r*vl5ruS . CONTRACTOR (PRINT) NAME OF C RACTOR'S SUPE OR (PRINT) STREET ADDRESS SIGNATU ` Ig DATE 91—LIVC.—MA.) G D 2 _�� 7 TOWN STATE ZIP INSPECTED BY OWN BGD— an.- 2 DATE TELEPHONE NUMBER WHITE — TOWN PINK — CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER