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HomeMy WebLinkAboutDrain Layers Permit 405-406 Wentworth Pa ,� �S o a TOWN OF SOUTH WINDSOR INSPECTION REPORT .::::....::.... Permit No Cont.3:'adtor J & H CLATER CONST CO Typeion NEW S Iadd ess 75 COMMERCE AY yp AN LAT 51UZH D',.WTN OR CT::-:_06074 Ph0na.No 18f }528252 Date Insp Needed -- — -. Ddt 0Iri^5�5 . Time Insp Needed -------------- - Inspected By Work in ProgressCY+T�+4c_�y<_ ------ Emu -- '. ----..-� �'VL�`'1nCL '°/ s C� 'Permit No. 8045 Town of South Windsor, CT Permit Date 04/10/2006 Drain Layer Permit Expiration Date 05/10/2006 Descrip: INSTALL SEWER LATERAL>'' Applicant Loeat`ion Name J & H SLATER CONS CO i?ETT dC T ORTH PARK Addr. 75 COMMERCE WAY Owner GENERAT.I.ON 2 SOUTH WINDSOR CT _06074 ; Phone No. (860) 528-5252: ed The Drain Layer �ssxgne,3 th�.s �i��,ttk�t his � y'��.�:d 3aen � b the.a�ssu y : state and hereby agthe ' ems dnd CUnW: t�ri sit fortih in the i atta ched 'Conditions'.:,.-: }'11`:SAo ..:1` is> >I< 3 >> !: d' n_Ge:..w:3'th To n of South �` lid aE :ac;keCl.. conditions. Windsor standards, all. OSHA'` .eq.0 r t5 ia'x _ .: t S d Issued By ----� ��r�/✓A —w T t 1 ., --° ------------------- l Date Inspectedhspect�dY _ _ sue APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, Cr FEE $60.00 Location of proposed work: ZO Q 12 Lot # Ef06 Street No. Street Name Premises owned by:24jc—�— p Z Name of Firm: , — Phone: Address.of Firm: lti TYPE OF WORK: Lay House Drain < • Repair House Drain Lay Main . House Commerdai/Industrial Building of acres Connection will be trade with ------------ Exishng Water Supply: Public Water X Well Proposed Start Date y' ZEstimated 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 j Layer's License No. �f� the holder of Drain +viii be issued.a petmI, PERMIT WILL Only holders of P-1, P-7 or W-9 licenses EXPIRE THIRTy(30)'DAYS AFTER DATE OF ISSUANCE. The undersi and conditions set forth in the gned Drain Layer.hereby agrees to all the terms permit and ttached thereto. Town Street Excavation Permit No. Applicant has received and/or ConnDOT Permit No. CBYD No. Signed: ' 1 Print Name._ w �� Licensed Drain Layer Date: Standard Fmiswer"tsWPLICATION FOR DRAIN LAYERS PERMrr.d0C TOWN OF SOUTH WINDSOR SANITARY ' SEWER : LATERAL : FIELD LOCATION DATE OF CONSTRUCTION: 4 BUILDING ADDRESS : dos=` � gas' © CL�-n� e'l STREET SUBDIVISION: r ku U;-� NORTH ARROW 4 I � PeX r CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS -I � SIGNATURE DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER