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Drain Layers Permit 205 Oakland Road - s
TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7914 Contra tof".nT'NAT-73O CONSTRUCTION INC. Location BERRY PATCH sNddr.es_s i>::€ 55 flRP0RTB'T:E AVE Type Work SAN MAIN PLANwfLLS CT 0fa62 Ph©rie No {$60)747 0339 n Date Insp Needed ------------ Ds�te �nz. r : Time Insp Needed Txme ----------- i K — -- — Inspected By �yz I Work in Progress _ . ------------------------- — : I — -------------- Permit No. 7914 Town of South Windsor, CT Permit Date 05/09/2005 Drain Layer Permit Expiration Date 06/08/2005 Descrip: ALSO FOR 440 BUCKLA..Rn RC'Aft . Applicant D:O'c a:t i o n Name DIMATTEO CONSTRUCTION1 INC. Ay $EIt&C pACH Addr. 55 CORPORATE AUE >: £3vrhe r PLAINVILLE CT 660b2 Phone No. (860)747-d3 >' f Y ; The Drain Layer? assigned this �fsaiab �id l: oeixse issued by the state and hereby agree NX.Nz the 'termsanc col 3xticr s� set fQ>rth in the attached 'Conditions Ali wv :�C sYi ) s.,.: ceordaice with Town of South Windsor standards, a'll O$HA rg hfid.=conditions. Issued By --- _ Vr f l it ----- � T t e --------------- Date Inspected ------------------ "Im pert e d B y — --�-- APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 -VC) A11cl Gc l a � ` �� l/v;j5 X/ Location of proposed work: '�O5 Od hl a-uQ i Lot # Street No. Street Name Premises owned by: yw �� S 5�c��� -5 t Z- Name of Firm: � ,1" �`7 Phone: � �Q r 4(�'E— Address.of Firm: /._x ec L' 014le- v��21�'S `�n 696 0 3 z_ TYPE OF WORK: Lay House Drairy ; Repair House Drain ; Lay Main }/ ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water Well Proposed Start Date ,3 6 S 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 the holder of Drain Layer's License No.� .,5- Only olders 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. 14�15 a Z)1n°410 v2 og l�2— Si ned 9 Print Name: 11 Lice sed Drain Layer Date: ,'� Cf it Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc