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HomeMy WebLinkAboutDrain Layers Permit 9 Porter Green i TOWN OF SOUTH WINDSOR INSPECTION REPORT �I Permit No. 6458 !' Contractor JMJ CONSTRUCTION CO. L tion 0009 Porter Green Address 658 ELLINGTON ROAD T Work NEW SAN LAT SOUTH WINDS OR CT 06074 PMon,e` �Np. (860)528-7889 Date Insp Needed I Date =lns� >��! Time Insp Needed x 11 Time �h8p Inspected By v k x Work in Progress -s' �-� °�'' - 2..'o .�O' �O of�""��,,,• x ! cam` ��y�•�p '?r/�:�/ I I'nout -,Date Permit No. 6458 ` Perr>`ti t Date 07/16/1996 Expiration (late 08/15/1996 Town of South Windsor, CT PD W Qjgripa PERMIT FEE' Drain Layer Permit / CONN RCPT #4638 Applicant Jame JMJ CONSTRUCTION CO, Location �ddr. 658 ELLINGTON ROAD A���'•. `G009 ,Porter Green O�itBr CLA�JK REALTY, INC. SOUTH WINDSOR hone No. (860)528-7889T 08p�4 The Drain Layer asOgnid ' his,,;' state .and herebyPerrnt his a ?r1 l »ense issued b attached t� �,� the ter'COCid i t i onS ' Y the Windsor standardsA f,l w . ` pops set forth in the irk . ha � � , acQria a 1 l ©SI, eau i rements p with Town of South and 1e A;tt�ched conditions. Sued to Inspected Inspected gy_�- r_ ._ s��®._„ry_�'"*'��r:'� Q*�.® -e-•�,,,,yrz*�. yF•,�®c � h" `.:�!� '1�,„' `w;' $krd,.° � . .,: : ,i 6458 TOWN OF SOUTH WINDSOR DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMTT DATE: Pursuant to. written application, permission is hereby grant d to fhe licensed Drain Layer named herein to e perform work at , & e__��.___ Lot#M es indicated below at premises owned by whose address is and to Lay House Drain Repair House Drain , Lay Main Other ffr �a F occupancy or use, with ! acres. Type of Sewage to be.connected under this permit: SAN/TARY SEWAOE 4NDUSTR/AL WASTES l J, OR,O 3 . Connection will be made wit(i 5 8 R 3 S� All work to be In accordance with Town of South Windsor standards,a//OSHA requirements and the conditions indicated on the back of this permit. r Proposed start date 7- Estimated time for completion Permit is to be issued to S S -chhn holder of Drain Layer's License Na _30 Only holders of P1, P7& W9 Iic ses will be issued permit. Permit will-expire thirty (30). days aher date of issuance: The undersigned Drain Layer hereby agrees to al/the terms and conditions set rfh in the permit and the reverse side thereof. Applicant has r ceived Town Voet,Excavation Permit No. and/or ConnDOT Permit No. y{ Signed L/ce a Dr aver FOR TOWN USE Oft Y Permit Fee Paid S 2S_.P v (Check No.) Y N Connection Charge $ Anew_mo (Receipt No.) y 6.3 a Dated " Insurance on File ` Bond on File (4N) This permit is hereby baued to the above named Drain Layer who has s valid license issued by the State of Connecticut and has on file,sactory bond Premises subject to and insurance in the name of the Town of South Windsw. 4 lntertown Agreement ( J ,Record of Sewer `Assessment t J ( J Issued by Date /6 9 k INSPECTION ` Date Work Started Date' Completed • Comments APPROVED: Inspect Date