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HomeMy WebLinkAboutDrain Layers Permit 970 Pleasant Valley TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7866 Conti-aC `or FAHREnTHE1-,T MECHANICAL SERVICES Location 0970 PLEASANT VALLEY Type Work NEW SAN LAT �J20AD B1YOG3 G:T 0:;6106 P11oi?e'No Date Insp Needed W. I ::... Time Insp Needed 7 Inspected By Work in Progress "1r 1eK✓ _, �:44i - 4 .� .r (arc ' -------- {j�'�� InPu't... '` Date ^ F y� Permit No. 7866 Town of South Windsor, CT Permit Date 11/23/2004 Drain Layer Permit Expiration Date 12/23/2004 Descrip: CK 143 $6396.00 FOR .F:-''UNfi'S,''< ' PfiRIIT`''FE ., TITS "P:FRMIT FEE WAIVED A Pplicant Ltne::at' .on N :VAI I EY Name FAHRENHEIT MECHAN:TC.AL:{`5:$'RVLC$;�:::> Addr. 56 DEPOT ST Otr KF REALTY L7C BROAD BROOK CT.'OE1a6 Phone No. (860) 623-1991.,.: The Drain Layer `kass'igned thisr4gmG his a va13d 1Cense assued by the state and hereby agr.ee,�<.:.to7:, the Gems cof( tadn set- forth in the n f South 31 r; :Wlt Tbva o attached Conditions .,.. o.:. ..:.. :; ... .. Windsor standards, all OSHA xecuix$ments and the attaheel. conditions. � G Issued By Date Inspected Trlspected a TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: //Z3--o y BUILDING ADDRESS : g6a STREET : Ul�� SUBDIVISION: Jar ►��t � k V NORTH ARROW , , r C_...._ . .{..._. ------}_...__ I i RCH } `. � I f } l j t ROM i 7o1w4ACvu I CONTRACTOR (PRINT) NAME OF 0 T CTOR'.S SUPE SOR (PRINT) STREET ADDRESS I SMATURE C� 061a f, DATE TOWN STATE ZIP INSPECTED BY TOWN 62.3'll DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER APPLICATION FOR ' RAIN LAYER PEP, MIC TOIL(OF SOS... UTH WINDSOR Y PUB13C WORDS:DEPARTMENT TOWN HALL 1540 SULLMN AVENUE SOUTH WINDSOR, CT . FEE $60.00 Location.of proposed work: ?0 KlEASAry-t ALL Street No. Street Lot # Name Premises owned by: KF , - Name of Firm: u F 9,r-Ai_T, �L P y Phone: �o'� �I Z�•}- Address.of Firm i Et-tYLO�tiO j — - 5��,-�., t� twos©- Cr TYPE.OF WORK: t AY eavpv 9041pj. cAtF L,47-p(Aj, ro S✓�r �o�pvs Lay House Drain --2L-," 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 /2 OVEstimated time for co letion mp — Y ALL WORK TO EE,IN ACCORDANCE'WITH-TOWN OF SOUTH'WINDSORS1"gNDARDS I ALL OSHA REQUIREMENTS AND CONDITIONS A ' TTACHER TO THE PERMIT Permifi is to be issued to Cam.. ��1s m�, Layer's Ucnse Flo. z�'�` 8`O the holder of Drain will be Issued ' } Only hot ers of P i;P-7 or W.9 Ncenses permit. "PERMIT WILL EXPIRE THIRTY(3o),DAY3 AFTEK DATE.OF ISSUANCE. The undersigned Drain Layer�hereby agrees to all the terms and:conditionsset forth In.the permit.and'a ched'thereto. Applicant.has received Town S t.Excavation Permit No. and/or ConnDOT:Perntit No. CBYD No. Zo041.y 60: s gc� a, k Signed:_ c G I.0 Print Name: i �c; Licensed Drain Layer Date: ;..Standard.F*ms\Pe"1 S\±°,PPLICAT10N FOR DRAi( .LAYERS PERM}T.doc