HomeMy WebLinkAboutDrain Layers Permit Pleasant Valley Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7923 Cont a-etd'rtP71Z"Z"PKINI CONSTRUCTION
Location PLEASANT VALLEY RD A-ddre_.$,..q kj' 50 P.9S.7?,>...OFFICE RD
Type Work SAN MAIN
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Permit No. 7923 Town of South Windsor, CT
Permit Date 05/27/2005 """ Drain Layer Permit
Expiration Date 06/26/2005
Descrip: CONNDOT 132-125 TSW.'S97 8#1
Applicant
Z c Name SPAZZARINI CONS T: UOT1014.? �IafiANT�_�XTAIthEY��tD
Addr. 50 POST F I O F CE JD jfYfer
ENFIELD, CT 06Q8 >
Phone No. 860 74 - "'
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The
Drain La er'`:.as's`'y � .�: k�is>`:".: .::�i�:�• .k���-=��<<'�k.i :: '�C�`ri#�e:>>:::>:i. s>ue d b the
state and hereby ag?xeb` c<; .,,.thc £erms""'end o'oYt'di ::3..o #<'::se. ::, forth in the
attached 'Conditions:' All:; `> :' r'•:'T>``.ecesrdac Wit T `ian of South
' .... 4�
Windsor standards, all OS_HA<
gu5i` itlxtS:; d£t< 3fie at::t<adhed..;:bpnditions.
Issued By :. =— r 7 — =�°----------------
Date Inspected
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APPLICATION FOR DRAIN LAYER PERMIT
• TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
F€€ 0.66-
Location of proposed work:_ e4J-4_,4ft%v7- y/�lll,�y�o.. e�s �Lot #
Street No. Street Name
Premises owned by:
Name of Finn:_ /9ZZ4,'U�/ Phone:
Address.of Firm:__ s7—
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateraf for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date 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 y maw,;, ; A
the holder of Drain
Layer's License No."- 22�D 7 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 theret . Applicant has received
a
Town Street Excavation Permit No. d/or ConnDOT Permit No.
t
CBYD No. 5 C)10 33M , a0o5 a1033011, d-t(ZQ0336q -a5c)10 33-7i ,Doc601033?i
01005 01a00(06a
Signed: Print Name:_ /;Zlciw�
Licen ed Drain Layer
Date: 2.f" D S�
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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