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HomeMy WebLinkAboutDrain Layers Permit 964 Pleasant Valley TOWN OF SOUTH WINDSOR INSPECTION REPORT r Permit No. 7863 Contra.e:t>or:',VAH-RENHZIT MECHANICAL SERVICES Location 0964 PLEASANT VALLEY Addiess..:: %:;56 DXPO'TSt.,.;.. Type Work NEW SAN LAT Bj2OAD BROO CT'`fl:6106 "F hone.:._,:NtS`:.5:66:).,62..3;.,.15.91, Date Insp Bat, k ------------ -- e ns p n, r K Time InsNeeded p iamb Inspected By �zc�.;` z�a!=L.. „^.. ,. z< Work in Progress ri /`"/>:33.i .J•:7'�LLC-� `}Ys t"1'�'1.0�-- -!4:yC, .. 3'�,�' .IY,bP� ��-'s._ -------------- -- Date Permit No. 7863 Town of South Windsor, CT Permit Date 11/23/2004 " Drain Layer Permit Expiration Date 12/23/2004 Descrip: CK 143 $6396.00 FOR.-5 UNITS �1 PERM..:ZT. FEE TiIS:` PERMIT FEE WAIVED Applicant Location S Name FAHRENHEIT MECHAllTCAL $SR.VICS PLEASANT -UAli EY Addr. 56 DEPOT ST OG1ne: ,.KF REAY ..LJC BROAD BROOK CT:.:.,010£ Phone No. (860) 623-191 '' ;; The Drain Layer s A rmx*'* 0`htis � *r�latl license issued by the state and hereby agreeg''to �;11 the Eerms and conditions set:::-forth in the attached 'ConditionsT All wOk shillSxg �# eordarke `wsth Town of South Windsor standards, all 0SHA t'�quire�n��xt4, ;ate the attached::;;coriditions. i Issued By �w= --------------- Date Inspected --------------------- Inspected TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS 960 STREET SUBDIVISION: Jar took 01 �. NORTH ARROW t ; , , 1 i j i t Rlic i 1 l .._-"i •.___ u,._.., .,....�_4 ........_- _....�......_. VHF. -., .S_... � { {- i��. i ! f k�✓p� (U � f L-_.. i , t CONTRACTOR (PRINT) NAME OF 0 T CTOR'.S,� SUPE SOR (PRINT) .55 r7- STREET ADDRESS TURE 0610�6 .,,,�..� - -�-ti_ DATE TOWN STATE ZIP INSPECTED BY TOWN 6,e3—1 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER APPLICATION FOR " RAIN LAYER PEiMTi' TO1 OF SO U'fH WINDSOR . . PUBLIC WORKS DEPARTMENT t TOWN HALL. 1540 SULLIVAN:AVENUE SOUTH WINDSOR,CT FEE $60.00 Location.of proposed work: q 4 )LlEA SAN-r 11 A LL E Lot # Street No. Street Name Premises owned by: K F LTf L LC_ Name of Firm: F 1 ekw L-c- Phone: 6 y"51 Zq- . Address.of Firm: W 1&40. 6 Z Cr TYPE OF WORK: t AY CeDn PW41^1 COE 447WKAI_ -7"0 Sic .eoerQ©,S -Lay House Drain K , 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 // Z. OVEstimated time for comple0on D ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOP:STANDARDS L ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED. 'TO THE PERMIT Permit is to b.e issued to �,� ✓ s e the holder of.Drain Dyer's LiC�nse' lo �o Only hot ers -will-be issued a ,P-7 or*=9 licenses . permit. PERMIT WILL EXPIRE THIRTY(30),DAY:' AFi'ER ` DATA.OF ISSUANCE. The undersigned Drain Layer hereby aigrees to all the terms and.conditions; et forth In.the permit.and'a ched thereto. Applicant.has received Town Str t.Excavation Permit No, and/or ConnDOT Permit.No. CBYD No._ Z 00V.y 64 7 y SignedPrint Name: 0 � r��d e- Licensed Drain Layer Date: Standard.Forms\PBti►tit V PLiCAIION FOR DRAIN.LAYERS PERMI'r.doc