HomeMy WebLinkAboutDrain Layers Permit 960 Pleasant Valley (2) i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7861 Contraq_tQr--FA—H-R9NHEIT MECHANICAL SERVICES
Location 0960 PLEASANT VALLEY A Mess.,
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Type Work NEW SAN LAT ,y' _ � ROf i fitb0,K{'CTr.06106
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Date Insp Needed -----------—_ — .: Date Inge / 4
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Time Insp Needed T � Ty ^
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' Permit No. 7861 Town of South Windsor, CT
Permit Date 11/23/2004 :ry'"""" ""'""'' "` Drain Layer Permit
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Expiration Date 12/23/2004 `"N
Descrip: CK 143 $6396.00 FOR;;:ff``UN S,`k` HERMIT:-'F"
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Applicant
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"VA<LEY
N FAHRENHEIT MECHAN`I •7ah :� \i:I.�
Addr. 56 DEPOT ST s ,rfirter KF REXY L1C ' h
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BROAD BROOK 0 1a6
Phone No. 860 623-1 A."..
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The Drain Layer , ggl: L .iFdi'%"' ra3sf' '. :3";id ' ' >.:a. Y
state and hereby ag e;��-`t�j 3;the"` ms `&nd &-i''+ S t,.1:0. , het; forth in the
attached 'Condition;' f``A'11"Cri: . `sI :I ;{v ; 3<`:: rC"e'�titI1 Tczvn of South
Windsor standards, al---.; OSHA e ui pit n s a3d t1Ye attla hed Co'fiditions.
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Issued By ---------------
y , K. i
Date Inspected "T'1r3slxez���fiY"«�y
APPLICATION FOR . RAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work:q60_ LEA SAN`t Y A LL Lot #
Street No.
Street Name
Premises owned by: KF IZAL_-T`< i trC:
Name of Firm: u F FA-LT� Ph 6qq-5 1
Phone: _47
Address.of Firm: 7 E�t-,� q�
- - < ojj 4 lJ� w oSO/l C T-
TYPE OF WORK: Gar �vu00 904idl ONE LA7�A� ro
-Lay House DrainC Repair House Drain
Lay Main .
Lay Lateral for Commerclal/Industrial
Building .of acres
Connection will be made with
Exlssting Water Supply: Public Water Well
Proposed Start Date // /Z-OVEstimated time for completion_IA
---�—_
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR<_STANDARDS,
L ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit,is to7 be.issued to . feu, r ins s p 4�
layer's.ucense No. the holder of Drain
-�-a- y u® Only holders - P-7 or`,A�-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'a0ached thereto. Applicant has received
Town Str t Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. ,, z Op 4L
Signed:_ 6 C'A V y 0 Print Name:_ �c 4:���rt :J J c►
Licensed Drain Layer
Date;
Standard Foams\Permits\APPLICATION FOR
DRAIN. PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS `�� �9��--9G��-966' -96e-< °76
STREET : -Ne;sca,4 VIVL U,
SUBDIVISION: Jar � k V►��a �.
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF 0 T CTORIS SUPE OR (PRINT)
STREET ADDRESS ATURE
3f - wok- 061o6 fs�_ ...4.�- DATE
TOWN STATE ZIP INSPECTED BY TOWN
6o-3- DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER