HomeMy WebLinkAboutDrain Layers Permit 39 Scantic Meadow Ro TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7943
Town of South Windsor, CT
Permit Date 06/30/2005
Drain Layer Permit
Expiration Date 07/31/2005
Descrip:
Applicant pp cant s..
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Name JAMES THROWS t€%f
� b3� 9�AN�' �-M:$ADOW R
Addr. VANS SEWER & SEPI .: i3fiara� r ]� ,UCETTt,� RA�17J & PAULETTE
97 RIVERSIDE DRVE
VERNON
CT 06066 r �f
Phone No. (860)289-QA9
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rain La e� ts::.;i>.. ;': 5:...>:'dFi`">s;::;>
Y a..s fined this perm } ,hag a valid 1�Case.issued by the
state and herebygres 't Ad,ryanditia3is sit.:fbr:'th in the
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` JUJOIL
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 proposed work: �� C�✓� L ��
� � Lot
Street No. Street Name
Premises owned by:-Jo L)w4f,
Name of Firm:_VC,as 5x-�� f�� , ��,z,c� Phone:2 F ODSS
Address.of Firm: Kjl�cls�� 1/ r
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with Sj)
Existing Water Supply: Public Water.-4 Well
Proposed Start Date l Estimated time for completion v
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR JANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to Athe holder of Drain
Layer's License No. Q_GS� 3 . 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.,-.)0015,�766 � 3
Signed: Print Name:.
Licensed Drain Layer
Date: j 6-
4 0�
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc