HomeMy WebLinkAboutDrain Layers Permit 980 Pleasant Valley TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7886 Co:n>tfdctor VIOL2TT:E..:. SILVESTER & SONS
Location 0980 PLEASANT VALLEY Addrs 65- CHERRY STREET
Type Work NEW SAN LAT EAST HAR' FORD CT 06108
`Phone No 48;60)28'9`-3466a
Date Insp Needed
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Permit No. 7886
Town of South Windsor, CT
Permit Date 03/08/2005 Drain Layer Permit i
Expiration Date 04/07/2005
Descrip: NEW SAN LATERAL CHIC 1002402
Applicant
Lora'<tion �
Name VIOLETTE SILVESTER & SONS Addr 0g:8:i} pLEASANT: VALLEY i
Addr. 65 CHERRY STREET {3wner JUNIOUS DbREEN Ms:& JIMMIE
EAST HARTFORD` CT :6108
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Phone No. (860)289-3466
The Drain Layex assigned this permat 1�a va.;l�d li'cense ;issue
d by the
state and hereby agrees to all the terms and ctsndzticss set.; firth in the
attached 'Conditions,. A11 Work sha I be In OCCardanCe with'Z of South
Windsor standards, all OSHA r'equiratents, .and the attached:'conditions.
Issued By
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Date Inspected
--------------------- TnspeCted By ---------
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: Mb ��-�Cs��'1 ber�� Lot
Street No. Street Na
Premises owned by: ��" z N �� us
Name of Firm: to � !/� l�`<f� G �dGv, s -Ph
jone.
Address of Firm:-ea-
irm: ea-oxc-vrx s / i"7Lt-��� C7
TYPE OF WORK:
Lay House Drain X ; 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 `� ` ,��� Estimated time for completion
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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 -;z, ;/ z-- the holder of Drain
Layer's License No. -2 7 . 71/ . Only holders of P-1, P-7 or W-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 attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. Z)CC,5/67 6 0 0
Signed: = _ �-- i
9 Print Name:.
icensed Drain Layer
Date: `' f�:7C01
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074
AREA CODE 860/644-2511
SOR-CID REPORT
SEWER TEST REPO
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PROJECT: FDrre
LOCATION: 110 i/°/
DATE: 3 v
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