HomeMy WebLinkAboutDrain Layers Permit 434 Pleasant Valley (2) i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8098 Contx:ad' or J & S°�iF�TER CONST CO
Location '-/�C���PrS�n Uu�4.��1 A:eI'cires :_5 ?75 COMM,$RCE"WAY
Type Work SAN MAIN SOU. H.. W'INU OR:. 06074
Phone NP (86q:}S28
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Date Insp Needed
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Time Insp Needed
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Work in Progress
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Permit No. 8098 Town of South Windsor, CT
Permit Date 10/06/2006 Drain Layer Permit
Expiration Date 11/05/2006
Descrip: SANITARY MAIN TO PRaPERT4.;:
Applicant Loeaton
Name J & H SLATER CONST C0: 10 V ples sue.
Addr. 75 COMMERCE WAY 4W3�1. EPET00 EBT TES Sid
SOUTH WINDSOR C1 A6074
Phone N '
o. (8 6 0)5 2 8-5 25 2
The Drain Layer ssigrid tbsmis bas; a rr7�d lie�nse issifed by the
.
state and hereby agres, 'tc� all the terms and conditaonj9 et ;;,pr£h in the
attache
d 'C
onditions Condi ons
All.> ;..
off.:>:. :_
w. k sh.aordarzc: w:sth Town of South
Windsor standards, all OSF�A recjxiretn :iGsr a�zd the att,aehed conditions.
:
Issued BY
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P.. Y
Date Inspected ..... __—..... In 'ec 'ecI B
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:
?(,CL �' �
I Lot#
Street No. Street Name
Premises owned by: — 1.�.�
Name of Firm:_
-Phone:
Address.of Firm:_
TYPE OF WORK:
Lay House Drain ___; Repair House Drain ,
Lay Main - • Lay Lateral-for Commercial/Industrial
Building of acres
Connection will be made with_ Pic
Existing Water Supply: Public Water Well
Proposed Start Date po t0 06 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
Layer's License No. 2Q7 7 the holder of Drain
will be issued.a �� Only holders of P-1, P-7 or W-9 licerises
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,
-Town Street Excavation Permit No. Applicant has received
and/or ConnDOT Permit No.
CBYD No.
f
Signed Print Name: 'J d �t �'fC,
'censed Drain Layer
Date:_ A 10
Standard Forms\Perm1ts\APPLICATI0N FOR DRAIN LAYERS PERMIT.doc