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Drain Layers Permit 8 Sedgewick Circle
i E TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6636 Contractor MICHAEL WILCOX Location 8 SEDGEWICK CIR Address EAGLE EARTHWORK SERV. Type Work NEW SAN LAT 101 N MOUNTAIN ROAD CANTON CT 06019 Ph, aneN,Q.. (860)693-2027 Date Insp Needed _ � � ate .Insp. 6 4 `� Time Insp Needed �� Tame 4.I► �p°. Inspected By Work in Progress r e; 1 5T� ":; 1k Ce I.np C59� Date 'ermit No. 6636 Town of South Windsor, CT ermit Date 06/26/1997 Drain Layer Permit xpiration Date 07/26/1997 elcrip: LOT 8 SEDGEWICK Applicant Location ame MICHAEL WILCOX Ad'dr-. `8-.SEDGEWICK CIR ddr. EAGLE EARTHWORK SERV. Owner MANNARINO 101 N MOUNTAIN ROAD CANTON CT 060, 9 < hone No. (860)693-2027 The Drain Layer assigned 'this permit" has .a_v&lj%d, It,cense issued by the state and hereby agrees .t4 all the tertl5; and condi"tio.ns set forth in the attached 'Conditions .' "�A 1 1 ,"wo`rk shall ;be -�j n acoar,.dah with Town of South Windsor standards, all" ;©SHV•r equ 1 rem+�h S" ";and the";attached conditions. ssued By t `" ate Inspected 6f r��7 °tispected .�y rz .A APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH VANDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVFJVUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work: 8 V C(ICL Lot # Street No. J Stre Name Premises owned by: f-66'+2 Name of Firm: LOA& Phone: Address of Firm: caaTm WORK. TYPE OF W Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Proposed Start Date F _Z'Estima.ted time for completion 6 -2 7 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 r the holder of Drain layer's License No. 116 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. Signed: Print Name/ d tC L� 011koy- Licensed Drain Layer Date: %tg