HomeMy WebLinkAboutDrain Layers Permit 260 Pleasant Valley « I
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7615 Contractor JAMES THROWE
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Location '-626.0 PLEASANT VALLEY` Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
( 860)289-0095
Date Insp Needed
Time I nsp Needed
Inspected By
Work in Progress Fri �i .A I
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Permit Rio. 7615 Town of South Windsor,;, CT
Permit Date 03/28/2003 Drain Layer Permit
Expiration Date 04/27/2003
Descrip: SAN LAT
Applicant Location
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Name JAMES THROWE 26 PLEASANT VALLEY
Addr. VANS SEWER & SEPTIC U ANE
97 RIVERSIDE DRIVE
VERNON CT 0
Phone No. (860)289-0095 I
The Drain Layer a s s cense issued by the 1
state and hereby afire s t t nd 419 s set forth in the
attached 'Conditions' a c with Town of South
Windsor standards, al u e s, t ched conditions.
Issued By
Date Inspected 0 By
-76 rS
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: vP4 A 41A 14, L
of #
Street No. Street N e
Premises owned by:--, \c, Q _
Name of Firm: In nV Phone'2 9 005 5-
Address of Firm:
a
TYPE OF WORK: '
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with ,
Existing Water Supply: Public Water � �
Well—��
Proposed Start Date_)60K 03 Estimated time for completion QApR c)3
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to �, .,, ._ the holder of Drain '
Layer's License No. Only holders of P1 or P7 Licenses will be
issued a permit. PERMIT WILL EXPIRE THIRTY (30) DAYS AFTER DATE OF
ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and
conditions set forth in the permit and attached thereto. Applicant has received Town
Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No.
Signed: Print Name: 0L. — (-Olol �
Licensed Drain Layer
Date:e:2 t��K W
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY. :SEWER LATERAL FIELD LOCATION
DATE Of CONSTRUCTION':;: 2
BUILDING ADDRESS
STREET
SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF CONTRA CTOR'$ PERVISOR (PRINT)
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STREET ADDRESS S N URE
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TOWN STATE ZIP INSPECTED BY TOWN
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TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER