HomeMy WebLinkAboutDrain Layers Permit 186 Scantic Meadow R i
TOWN OF SOUTH WINDSOR INSPEGTION REPORT
Permit No. 6494 Contractor JAMES THROWS
Location 0186 SCANTIC MEADOW R Address VANS SEWER & SEPTIC
Type Work RPR SAN LAT 222 TROY ROAD
SOUTH WINDSOR CT 06074
Phone No. ,. (.860)289-UO95
Date Insp Needed ---____ Date Insp
Time Insp Needed ....-__........ '- -- -- Time Insp.
Inspected BY
Work in Progress �� � ,
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Input ��Z Date
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Permit No. 6494 Town of South Windsor, CT
Permit Date 10/15/1996 Drain Layer Permit
Expiration Date 11/14°/1996
Descrip; --
App I cant Location
Name JAMES THROWS A r -r:,, 0186 SCANTTC MEADOW R
Addr . VANS SEWER & SEPTIG ;4vti r :LI66Y ROBERI- i= & ELIZABETH H (S
222 TROY ROAD
SOUTH WINDSOR CT0607
Phone No. (860 )289-0095
The Drain Layer assigned this permft ,h&s a Va 1,irense issued by the
state and hereby agrees to, 6 1,,1 the to'ms,'4nd c66d.,i,�6or s set forth in the
attached 'Conditions ' . Ail work sha11 be in accordance with Town of South
Windsor standards, al 'l OSHA; requirements, and =the' attached conditions .
Issued By ^_ _ _1�� /;1=` ✓�� TIt 1 e,
)ate Inspected _ i�/. t _= Tnspac t' ed By
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Kr'r"c;RIJUNPVR DRAINLAYERS PERMIT
TOWN OF SOUTH WRVDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work 8 r,;i A60 k j Lot #
Street No. Street Name
Premises owned by: /_ I Pao
Name of Firm:(A Ai Sir<<r-k cl- SeP-r)(L _Phone:�
Address of Firm:22 A ) 67
TYPE OF WORK.-
Lay House Drain Repair House Drain •
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with_--:) D k)
Proposed Start Date jam Estimated time for completion 1 '"T
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WIIVDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to 7AMf,5 ( tj 2D the holder of Drain
layer's License No. a0, (03 S3 . Only holders of Pl, P7 & 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: -dA41-,
Print Name I-A rids
Licensed Drain Layer
Date: