HomeMy WebLinkAboutDrain Layers Permit 6 Sedgewick Circle i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 6639 Contractor MICHAEL WILCOX
Location 6 SEDGEWICK Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 06019
One No. 860 )693-2027
Date I nsp Needed � Dater�s
Time Insp NeededftM Trnensp. y6
Inspected By
Work in Progress
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Inpu --- Date
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Permit No. 6639 Town of South Windsor, CT
Permit Date 07/02/1997 Drain Layer Permit
Expiration Date 08/01 /1997
Descr<ip:
Applicant Location
Name MICHAEL WILCOX Ac dr . b, SE:QGEWI:CK
Addr. EAGLE EARTHWORK SERV,
Csw�ier MAN to-RINO BLDRS
101 N MOUNTAIN ROAD ��
CANTON CT ,061'0 9`
'hone No. (860)693-2027
The Drain Layer ass i gneel tY i s 'erm�t ..has a d' j.i:cense i sued by the
state and hereby agrees 'ta a ,j the terms 'and 016 tans set forth in the
attached 'Conditions' . A 1 .w c rk shall be f accc�itan�� with Town of South
Windsor standards, all OSHA r4+qu11rement8,' and the:'` att4,ched conditions.
Issued By T - -
Sate InsPec ed __ S7 _ tispe,cted 8y _� _�
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25 00
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Location of proposed work: l( C�r�cl� Lot #
Street No. treWt Name
Premises owned by: &t'i1C16ev13-
Name of Firm: Phone: ?DZ7
C
Address Firm: of <dd of
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date ?-,-IS 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
zz� ___
Permit is to be issued to cC�(Cr e 1 6 - c t G0,j6 the holder of Drain
layer's License No. 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: td- Print Namef
Licensed Drain Layer
Date: '7- 2 7