HomeMy WebLinkAboutDrain Layers Permit 5 Sedgewick Circle Y TOWN OF SOUTH WINDSOR INSPECTION REPORT
Contractor MI
Permit No . 691 CHAEL WILCOX j
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I� Location 6 SEDGEWT_CK. CI Address EAGLE EARTHWORK SERV .
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 06019
o<, (86ii )693-2027
Date Insp Needed Inp•
Time Insp Needed ZZ, .0� Time"}'I0$p:
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Inspected By 1�
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Work in Progressl�y '
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It�pu. Date
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trmit No. 6591
4itTown of South Windsor, CT
Date 04/18/1997 4xpiration Date 05/18/1997 Drain Layer Permit
bescrip: LOT 5 AVERY MEADOW
Applicant Location
Name MICHAEL WILCOX
Adele 5 "GEDGEWICK CI
Addr. EAGLE EARTHWORK SERV er RAWARINO BUILDERS
101 N MOUNTAIN ROAD � z
CANTON CT
Phone No. (860)693-2027IV
The Drain Layer as$ gned th is
arm# has d .- i cense issued by the
state and hereby agree° tp i tE € t,6 end t cif t i r set forth i n the
attached 'Cond i t i ons ' o!"`k,zh -fib$ e t1 acxxa with Town of South
Windsor standards, all'. OSI- 1gr � id # :tched conditions.
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Issued By
Date Inspected1 tbx�sRett+ i�
'APPLICATION FOR DRAIN LAYERS PERMIT
. TOWN OF SOUTH WINDSOR
- PUBLIC WORKS DEPARTMENT
TOWN HAIL
1540.SULLIVAN,AVENUE
SOUTH WINDSOR CT
FEE$25 00
Location of proposed work09
i`YG"fz Lot #
Street No. $tract Name
Premises owned'by: n
Name`ofFirm: e(a/PrrGfl/IG 'C�5 FhoneGd G93 � 7
Address of Firm:: / a��-� 1')'Ji f �. /� fan (�'/%
TYPK.OF"WORK: _
Lay House Drain i �Zepair Douse Drain ;
La_q Main Lay Lateral for Commercial/Indu4triai .,
Building of acres
nn C echo v n willbe-made �wt
th ( . ` 15 L4-
Proposed Start Date stimated time for'completion �� 7
ALL WOR9 ''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 &LhAell k) %o; the holder of Drain
layer's License-No. a 77_114 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.
.. c
Signed: Print Name Gha e./ 'O"hx
Licensed Drain fayer
Date: