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HomeMy WebLinkAboutDrain Layers Permit 1 Sedgewick Circle t , TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit`s N 6634 .Contractor MICHAEL WILCOX- --- --- --- - Loca*1- 1 n 1 SEDGEWICK CIRCLE `Address EAGLE EARTHWORK SERV. Type Work NEW SAN LAT 101 N MOUNTAIN ROAD CANTON CT 06019 Phone No. ( �7' 693-2027 Date Insp Needed /0;1�45�1 f5at ns �I 47 I p Time Insp Needed S_'Go Inspected By -12e"ef Work i n. Progressls ,s�yf, iDe SToile v " F ItpU c9,�S1 Date C�� fi elf Permit No. 6634 Town of South Windsor, CT Permit Date 06/23/1997 Drain Layer Permit Expiration Date 07/23/1997 Descrip: LOT 4 Applicant Location Name MICHAEL WILCOX Addt�-. fi' ,$EDGEWICK CIRCLE Addr. EAGLE EARTHWORK SERV. Ow,ner 'MARNARINO BUILDERS 101 N MOUNTAIN ROAD CANTON CT Phone No. (860 )693-2027 The Drain Layer as 1 gne'c# th i per 1 a c �I ikcense issued by the state and hereby agree I"dri'``s set forth in the attached 'Conditions' A 1 ,`w©:rk sha 1 be i n aoGd'anee' with Town of South atta Windsor standards, all, OSHA tgt7t"�FttieCil6, tnd t, ® ched conditions. Issued By��/�Y Date Inspected y --nepec.t d By,- _-AA -- 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: / c I J Lot # Street No. Street Name Premises owned b &v Name of Firm: Phone: 7 Address of Firm: 10 TYPE OF WORK: Lay House Drain Repair House Drain Lay Main Lay Lateral for Commercial/Industrial Building of acres Connection will be made with c1 Proposed Start Date � ?! Estimated time or completion P letion.f P 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 tor,C�?C� GU)C the holder of Drain layer's License No. ' /�j (� 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 Con11DOT Permit No. Signed: Print Name ,1&C l Licensed Drain Layer Date: 6 ✓ �y