HomeMy WebLinkAboutDrain Layers Permit 45 Pond Lane ,R TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor VIOLETTE SILVESTER & SONS
Location Address 65 CHERRY STREET
Type Work NEW SAN LAT EAST HARTFORD CT 06108
.Phone No. (860 )289-3466
Date Insp Needed
Time Insp Needed T,amle Insp;
Inspected By G✓J � -
Work in Progress C,�►� vrJ G�>"l
Input ' s Date
Perm. Flo. 7390 Town of South Windsor , CT
-Perm' Date 02/19/2002 Drain Layer Permit
Expiration Date 03/21 /2002
Descr'ip: CK28874 $25 . 00 CK853 $85 .44 CONN FEE PD 5070
Applicant Location
Name VIOLETTE SILVESTER & SONS Addr. 0045 POND LANE
Addr. 65 CHERRY STREET -.Owner MOORE DENISE N
EAST HARTFORD CT 061 $
Phone No. (860)289-3466
The Drain Layer aseign6d --th'is, perMiV1 has a v a I rd l -cense issued by the
state and hereby agree tp °all the terms 'end aor #l;tior%s set forth in the
attached 'Conditions' : All w6 k, shadllb 'gin accordance with Town of South
Windsor standards, aliu'i��ments at d the attached conditions.
F
OSH���Yeq �
Issued B y Title
Date Inspected 2/ 0 2 Inspected BY
s
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: yS- PO ar-d c*-"4- Lot #
Street No. Street Name
Premises owned by:j1dL),d 15-4-'r-v.c y
Name of Firm:-Y.. S r l ca Phone:a-��'S�*"
Address of Firm:_/1- Chi me /�r•�-�
TYPE OF WORK:
Lay House Drain,,& ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with �l P c-
Proposed Start Datea��°� Estimated time for completion cP-a l-0 a
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 Am-k- Z rexu L,� the holder of Drain
Layer's License No. Qg-Oo6�( . Only holders of P1, P7 &W9 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.
Signed: Print Name: A''�+
Licensed Drain Layer
Date: ,.?,
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc
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