HomeMy WebLinkAboutDrain Layers Permit 455 Oakland Road � y
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7837
Cont.na'S'tor JAMES<"'I"NROWE
Location 0455 OAKLAND ROAD
Type Work NEW SAN LAT . dre g <:VANSr SFgt#ER &`>< EPTIC
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Permit No. 7837
Town of South Windsor, CT
Permit Date 10/08/2004
Expiration Date 11/07/2004 Drain Layer Permit
Descrip:
Applicant
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Name JAME t S THROWE
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The Drain Layer '" F . .....::. ..::::::::::r.:..z'::,':%- ;..::.:::..,.:,::<.:.
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state and herebya ree "` y g a':to ,'t57 Cermd% xfd Cst d t},�Sn9,Set; forth in the !attached 'Conditions; -.-A:
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Windsor standards, al OS A<<' '''� . .!°U.>< ' Towb of South
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Date Inspected ..'o..'°
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: �(�� oelk 164 Rc�-Lot #
Street No. Street Name
Premises owned by: & gtivn
Name of Firm: +Se ►Z. Phone: ooeIy
Address of Firm: Pl)�tr-3) r
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S;QIR TS
Existing Water Supply: Public Water Well
Proposed Start Date (/ Estimated time for completion G
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. 20 S-6 3 Y Only holders 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..2Q0 7 3 7O Z yU Z-
Signed: P11L Print Name: fov�.
Licensed Drain Layer
Date: 'TGLT'C3
Standard°Forms\Permits\APPLIGATION FOR DRAIN LAYERS PERMIT.doc
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