HomeMy WebLinkAboutDrain Layers Permit 28 Scott Drive Permit No. 6649 Town of South Windsor, CT
Permit Date 07/18/1997 Drain Layer Permit
Expiration Date 08/17/1997
Descrip:
Applicant Location
Name SKIPS SEPTIC Addr: "002 SCOTT DRIVE
Addr. 27 MUDDY BROOK ROAD .)OWner° ,ELWOOO JAMES H &
ELLINGTON CT
Phone No. (860)875-2332
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The Drain Layer assigned; this permrt has a va:3 c! license issued by the
state and hereby agrees to `a l;l:' tie terms ,end 66nd",t ons set forth in the
attached 'Conditions .' Allrk shaF I ,bt, itn accordahc'e' with Town of South
Windsor standards, all' OSHA `raquirements, and the attached conditions.
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Issued By
Date Inspected - _— �aL�7 lnsipected
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6649 Contractor SKIPS SEPTIC
Location ° 0023 SCOTT DRIVE t t t , Address 27 MUDDY BROOK ROAD
Type Work NEW SAN LAT ELLINGTON CT 06029
Phone No ( 66G)875--2332 '
Date Insp Needed _-� Iat ,
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Time Insp Needed $p
Time In
Inspected ByI it
Worm in Progress T �ffri �ra1 # iri: ; r�/N✓l
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Input Date(
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH W1IVDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: cp<3 cSCo Tj— -- Lot #
Street No. Street Name
Premises owned by: J fifia S e-.L w a 0`2>
Name of Firm: c5 k(PS 6 9 P77CC Phone: $7 S-a 3 3 d)...
Address of Firm: a27 A4 u DW 1,7TLce%
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main ; Lay Lateral for Com.m.ercial/Industria1
Building of acres
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Connection will be made with to pyc— CSoz 3 J-
Proposed Start Date 7 Z/ t? Estimated time for completion Zz 97
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 "�d1'''+ Grr/-�,t_�� the holder of Drain
layer's License No. dd Z o 71I Z. 5' Only holders of P1, 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.
Signe Print Name 1?*#S ��.Gree f
icensed Drain La r
Date: t 97Y