HomeMy WebLinkAboutDrain Layers Permit 29 Scantic Meadow Ro J TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7944 y" "f"
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Permit No. 7944 Town of South Windsor, CT
Permit Date 07/06/2005 F....:t'.' Drain Layer Permit
Expiration Date 08/05/2005
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Applicanton
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Name JAMES THROWE y" Zc r �029 y�jC�NT;C,MEAbOW R
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Addr.. VANS SEWER & S PI C lA
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97 RIVERSIDE 1#zi '!r'-'
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VERNON
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Phone No. 860 289 d0+
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The Drain La er}sasS n d tais � gry
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state and hereby ag efa�.sV- Coo,-Za?1,k'2 heh .:.. ""." ��nt t ;szi`5;`s ` '`>fcrth in the
attached 'Conditions' . All wvf Shan e 3tC4rdrte''w th Town of South
Windsor standards, aIJ C# lA`<: equIN CSiYe ac`hetY conditions.
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of ro sed work: �C�41, dp po � Lot #
Street No. Street Name
Premises owned by: i
Name of Firm: A. 1 3P r )U-1V Phone:
Address.of Firm: , r
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main ; Lay Lateral-for Commercial/Industrial
Building of acres
Connection will be made withp
Existing Water Supply: Public Water. Well
Proposed Start Dat l �7 _ Estimated time for completion -Al-)
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ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CON MONS ATTACHED TO THE PERMIT
Permit-is to be issued to c7k X.-C the holder of Drain
Layer's License No. Only holders of P-1, P-7 or W-9 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.
CBYD No.
Signed: Print Name:
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc