HomeMy WebLinkAboutDrain Layers Permit 1075 Pleasant Valley (3) r 4
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7676
Location 1075 P Contra:ct'o...t 1"T '°g:E:S;T CONNECTIONS LLC
PLEASANT VALLEY
Type Work DIS SAN LAT Address 39 92K. ROAD:
RANFORD cT 06405
Phone No {243)488i2585
Date Insp Needed
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Time Insp Needed CA
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Inspected By
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Date
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Permit No. 7676
Permit Date 10/01/2003 Town of South Windsor, CT
Expiration Date 10/31/2003 Drain Layer Permit
Descrip: DISCONNECT SEW. LAT - TO 47LD 'HbUSE
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Applicant
Lcid t-ion
Name THE BEST CONNECTIONS LLC
Addr. 39 ARK ROAD 3�ddx 1Q;75 )'L.E:ASANT.`47ATzLEY
bwg1@. MAROUSX..l AMRLIA &
�1
BRANFORD
Phone No. (203)488-285 .,06405 ..
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The Drain Layer �ssigned h:ist has
state and hereby license issued by the
y agrees t " the terms and con
Al in the
attached 'Conditions All work s11a1`J iyibeordanQ with Town of South
Windsor standards, alb OSHA � quir 00. &-s 'aid tie a a het :egriditions.
Issued By
Date Inspected
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• TOWN OF SOUTH WINDSOR
SANITARY , SEWER LATERAL -FIELD LOCATION
DATE OF CONSTRUCTION: ,:'0 /
BUILDING ADDRESS 0 7;57
STREET .
SUBDIVISION:
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NORTH ARROW
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.SOB t� C 'FOR
CONTRACTOR (PRI NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
j p J 7 6zf DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
FROM THE BEST CONNECTIONS PHONE NO. Sep. 25 2003 03:11PM P1
APPLICATION FOR DRAIN LAYER PERMIT
TOWN Or SOUTH WINDSOR
PUBLIC WORKS DWARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOPv CT
PE9 $50.00
Lion of proposed work:�Qa�.ot �
Strad No. Street Name
Premises owned by:_._c�+ra.-� a+ C� �
Name of Flrm; The Best Connections LLC Phonie; 203 488-2585
Address of Firm: 39 Ark Road, Branford, CT 06405
TYPE OF WORK:
Ley House Drain Repalr House Drain - _.
Lay Main--- ; Lay Lateraf for COMMercial/xhdustdal
Suildinct of.acres
,r->iScomloi�-;CA ---Z-_ e-A-rEfrz r�N 1�
Connection WH be made with _ _w
Usdrng Water Supply: Public Water, we
Proposed Start Dane o Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SoLrr-1 WINDSoR STANDARDS,
ALL OSHA RZQUIREMENTS AND CONDITIONS ATTACHED 70 THE PERMIT
Permit is to be Issued to the holder of Dram
Layer's License No. . Only holders of P-1, P-7 or W-,9 llcensm
will be issued a permit. PRMIT WI L,EKPxRE 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.
Signed: Print Name: tl/-KV
U D Layer
Date:
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