HomeMy WebLinkAboutDrain Layers Permit 66 Rugby Lane f'
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6529 Contractor TRI-STATE EXCAVATORS INC..
Location 0077 RUGBY LANE Address 97C SYCAMORE LANE
Type
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ype Work NEW SAN ;_.AT MAr4GHESTER C 06040
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Permit No. 6529 ltown of South Windsor , C1
Permit Gate 11/25/1996 Drain Layer Permit
Expiration Date 1 2/25/ 1 996
Descrip :
Applicant Locat i on
Name TRI--STATE EXCAVATORS INC. Addr. Q077 RUGBY LANE
Addr. 970 SYCAMORE LANE: owner WILMAR ,CONSTRUCTION INC
MANCHESTER CT 06o40
Phone No. (860)289-8799
The Drain Layer, assigned this permit has a valid license issued by the
state and hereby agrees to all the terms and cond'iLions set forth in the
attached 'Conditions' .-All- work shall be in accordance with Town of South
Windsor- standards, all OSHA requirements, and the attached conditions.
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EROSION R SEDIMENT CONTROL PLAN KEY
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH RIMSOR
` PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work ? v4 Lot #
Street No. Stree Name
Premises owned by:
Name of Firm: Phone: — 7 9 `1
Address of Firm: 7 C iq-t"OZE kit
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with -Sb R 3
Proposed Start Date Estimated time for completion
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 11l .ST'7-/� x&-,qAop-T(s the holder of Drain
layer's License No. g9lo 6 . Only holders of P14T?>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 Layer
Date: