HomeMy WebLinkAboutDrain Layers Permit 106 Scott Drive i
Permit No. 6517 Town of South Windsor , CT
Permit# Date 11/13/1996 Drain Layer Permit
Expiration Date 12/13/ 1996
Descr p:
App I i c�xnt, t_ra :;at.i art
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Name H. W. LEVACK CO . Addre. O lur, bCol T 'A1 IV
Addr . 49 MASCOLv ROAD Owner PIONEER AER()SPAitE CORPORATION
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SOUTH WINDSOR CI, 06674
Phone No. (860)525--0131
The Drain Layer assigned this permit has a valid license issued by the
state and hereby agrees>. to all the terms and conditions set forth in the
attached ' Conditions ' . Ali work shall be in accordance with Town of South
Windsor standards, alf OSHA requirements, and- the -attached conditions.
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Issued 13 T i t le J(z
Date Ins�pectI d /'�� �` — --- Inspected t3y .!J--
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OWN GE SOUTH WINDSOR INSPECTION REPORT
Permit No, 6517 Contractor, H. W. LEVACK CO.
Location 0106 SCOTT DRIVE Address 49 MASCOLO ROAD
Type Mork NEW SAN LAT SOUTH WINDSOR CT 06074 I
Phone No. ( 860 )528- 0 1 :11
Date Insp heeded . t'_ Date Ins P•
Time Insp Needed — __. _ - ` Time Insp ---
Inspected By
Word: 'in Progress
Input s `�, r - Date
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work ,f'� � / /)1� Lot.#
Street No. Street Name
Premises owned /b1 : ,,�z.y c 4 y <LP1f6,e
Name of Firm: H /&l ��K _ZnJC— Phone:
Address of Firm: ✓� '�1 , ,�1 42
TYPE OF WORK:
Lay House Drain; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 4�
Proposed Start Date,/ Estimated time for completion
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 �J/ the holder of Drain
layer's License No. J8 � ,7y O ly 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.
Signed: Print Name 's
Licenseld Drain Layer
Date: `�' J.S" 9Z`