HomeMy WebLinkAboutDrain Layers Permit 79 Ridgefield Drive I
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6471 Contractor YANCEY
Location 0079 RIDGEFIELD DR Address 27 R COMMERCE STREET
Type Work NEW SAN LAT GLASTONBURY CT 06033
Phone No. (860 )633-0423 I,
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Date I nsp Needed
',:Da te Insp'::
Time Insp Needed �mer1sp. f
Inspected By
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Input � �_'_ �_. Date c.-1 1 _rl�r I
Permit No. 6 471 Town of South Windsor, CT
Permit Date 09/03/1996 Drain Layer Permit
Exp'irAtion Date 10/03/1996
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Descrip:
Applicant Location
Name YANCEY Addr. i1C►7 RIDGFf=TELL; DR
Addr . 27 R COMMERCE STREET ,: OwIlet, L.AGAyA, CC)NSTRUCI'ION COMPANY
GLASTONBURY CT 06U3
Phone No. (860)633-0423
The Drain Layer assigned this permll� ties a vet7ld license issued by the
state and hereby agrees to-, ;1,11 the ter ,, .and cangxtloris set forth in the I
attached 'Conditions' 'A11 ,work shall be in accor,ance with Town of South
Windsor standards, a11; OtHi ►,6quirements,, and th44 attached conditions.
Issued By I - T'it16
ected By
Date I nspeed _—
• APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH VAMSOR
k PUBLIC WORKS DEPARTMENT �
TOWN HALL (64- 1 l
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00 _
Location of proposed work: �� /� �� % ,�%� Lot #
Street No. Street Name
Premises owned by: ,Cf��/�UA �r�►,f
Name of Firm: z'r ria Phone: �5—3 o y�z
Address of Firm: �7/C ,nerce,
TYPE OF WORK.
Lay House Drain_ Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with G� 'tl C,
Proposed Start Date f5L,96Estimated time for completion S
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 the holder of Drain
layer's License No. ,?o l f r 7 Only holders of P1, P .8a 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
Licensed Drain yer
Date:
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