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HomeMy WebLinkAboutDrain Layers Permit 962 Pleasant Valley TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7862 Contr � tz1�FRENIT MECHANICAL SERVICES Location 0962 PLEASANT VALLEY Ad j4 esq� y;;56 D ,.POT,:> Type Work NEW SAN LAT '` ``< fi Q&ROAgOOJ. Ch<::p6106 h one icy Z B �6$3 199 R: +i> :;:s' Date Ins p Needed bD ,�.`. Time H Insp Needed . �s Inspected By { s< Work in Progress SAL fK r : '�f e t t j l , i I' Permit No. 7862 Town of South Windsor, CT Permit Date 11/23/2004 `>''»>`°` ::<; Drain Layer Permit Expiration Date 12/23/2004 ,>`u.x <" Descrip: CK 143 $6396.00 FOR :6- UNITV PER[IT FLTy T TS, <PRRMIT FEE WAIVED ;. Applicant LO'C'a.t'•on Name FAHRENHEIT MECHAN'IC,L-,-V, CFss� X3c dr y i I ASANk£.t7AI EY Addr. 56 DEPOT ST Auer KF REAL. BROAD BROOKt:>,OC#3 06 F r 7r`, PhoneNo. 860 623-19`91*:-'v The Drain Layers3��griet� t} s x � t} sy d l cens a sued by the X. x state and hereby agiewtto; ";::the'"C' 'rms`sfYd c�` t; 5z1 :`>?: t;..:.for.£h in the attached 'Conditions-.;.` F�11 :>uit .1c'.'3' 3 ? # + da'Y1 `:' t4 �Fov of South Windsor standards, alX OSHA eelu Yem�sts, and }Te at L� ed,Co ditions. y j u..: XA <x Issued By ---- - - Date Inspected -------------- ---------- 1 r TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS ,: STREET SUBDIVISION: NORTH ARROW 1 a ! I I i • i �.. . t 1 } 1 t I N r , • i_ (_._V{..-....._I .....__• #__.....-.t._._..-, it } i { t i RAC� i 1 � { i , 1pi A rev i _ a CONTRACTOR (PRINT) NAME OF T CTOR:S SUPE SOR (PRINT) STREET ADDRESS ` TURE -Ct - c cr 061o6 64,__� DATE TOWN STATE ZIP INSPECTED BY TOWN 6Z,3 1 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER ,7£3e'L. APPLICATION FOR,QRAIN LAYER PERMIT 4: Tow OF S©UTH WINDSOR PUBLIC WORKS. DEPARTMENT TOWN MALL 1540 SULLIVAN AVENUE SOUTR WINDSOR,CT . FEE $60.00 Location of proposed work: till TL1EA5ArjT UArU,EY Lot # Street No. Street Name Premises owned by: � L t� �r Name of Firm: K F . GALT . L-L Phone:e:• �o' y 5 Z�- Address.of Firm: 1 ELeV— "AID S ,�. W 0w05©/l Ct` : TYPE.OF WORK: GAY L DS I��4ih/j ®,vE S AL. 7zv �X �oe�OvS Lay House Drain K J Repair House Drain Lay Main • Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water Proposed Start Date / /2 O Estimated time for completion ALL WORK TO BE IN ACCORDANCEVITH TOWN OF SOUTH'WINDSOP ALL OSHA REQUIREMENTS AND CONDITIONT'ANDARDS, S ATTACHED.TO THE PERMIT . Permit is to be:issued to Dyer's License Rio. d the holder of Drain y Only hot'ors ;P-7 or W=9 licenses :will be issued a-permit 'PERMIT WILL EXP3RE Tl3R`C'Y(30� ®AyS AST%ER DATE.OF iSSUAiVEE. The undersigned Drain Layer hereby'ogrees to all the terms and:conditionsset.forth in.the permit and-attached thereto. Applicant has received Town Str t.Excavation`Permit No. and/or Co nnDOT Permit No. CBYD No. 2 0-644 y 60 Sign : Print Name:_ .� � Qa f Licensed Drain Layer Date:- -,S tandard 1t5\APPUCAT10N FOR DRAIN LAYERS PERMFr.doc