HomeMy WebLinkAboutDrain Layers Permit 65 Rye Street (2) . r
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8052
Contra:ct'or COVEN GIJSTRUCTION CO.
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Location � 6E: �"yp:��i9T
Type $ype Work RPR SAN LAT
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Date Insp Needed
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Time Insp Needed "
Inspected By
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Permit No. 8052
Permit Date 05/10/2006 Town of South Windsor, CT
Expiration Date 06/09/2006 Drain Layer Permit
Descri ;«
p: INSTALL FORCE MAIN FC?F' NEy�'";AflITIbN '
Applicant
Lo-at` on
Name COVEN CONSTRUCTIOj7 'Cp
Addr. P.O. BOX 427s3dr 0FS6YB 'STREET
ONF1?£r BRUCE 1NANI±;ELEY R-EAL ESTATE LL
COVENTRY C -06238
Phone No. (860)282-0526 ,
The Drain Layer asaxgriea thi sFinaf ha state and hereby agrees to a Sd lehse u
,sed by the
attached1 :the tYms and c'on3'to'n` t fo rd
'Conditions':.. ''A 1 ': <'s::; ` ..; h i n t h e
standards,
: "
s, all.. :: :dan :,w;z>'ti T'ouzn
OSFp'xeque`!n'4"> r>;`::;;<:<».`.'? Of South
tzd the attaciiecl cQnciitions.
Issued BY
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Date Inspected
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, Cr
FEE $60.00
Location of proposed work: J �� t
Street No. Lot#
Street Name
Premises owned by: C `S
v
Name of Firm:
Phone:-2Q 0
Add
ress.of Firm: v
TYPE OF WORK: /
Lay. House Drain
r . Repair House Drain
Lay Main - Lay-t ateral•for Commerdai/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water
Well
Proposed Start Date U . iM�W tiime_for completion
ALL WORK TO BE IN ACCORDANCE V1(TTM TOWN OF SOUTH WINDSOR STANDARDS ALL OSHA.REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit-is to be issued to �v Z
Layer's License No, 7��j the holder of Drain
will be ssued.a •� Only. dens of P-1, -7`or W-9 licenses
Permit: PERMIT WILL EXPIRE THIRTY(30)VAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms
and conditions set forth in the permit and attached thereto.
Town Street Excavation Permit No. Applicant has received
an ConnDOT Permit No.
CgY I No. �oo
Signed: Print Name:
Licens in Layer
Date: j a C�
Standard Forrtas\yermits�AP LICgION FOR DRAIN LAYERS PERMIT.doc