HomeMy WebLinkAboutDrain Layers Permit 7 Sedgewick Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit. No. 6592 Cantrartor MICHAEL WILCOX
Lccati_�t, 7 ecDGc�^II� r I Adc e S EAGLE EARTHWORK SERV .
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Type Work NEW SAN LAT ` 101 N MOUNTAIN ROAD
NTO� CT 06019
` hct .1 l 0 )693-2027
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Permit No. 6592 Town of South Windsor, CT
Permit Date 04/18/1997 Drain Layer Permit I
Expiration Date 05/18/1997
Descrip ; LOT 6 AVERY MEADOW
Applicant Location
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Name MICHAEL WILCOXWICK CI
Addr. EAGLE EARTHWORK SEF O BUILDERS
101 N MOUNTAIN ROA6.
CANTON C "
Phone No. (860)693-2027 '
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The Drain Layer as 4(f, i , fi t a �W cense issued by the
state and hereby agreeO o � tie teia` td ,o� 1i ohs set forth in the
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attached 'Conditions' . 7 1
w 3r'i� s� �Y� a)iC¢atplarige with Town of South j
Windsor standards, all �aSl i^�qui} �' and, h� #tached conditions.
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Issued Sy71e
Date Inspected -s Inspected By ,��
APPLICATION FOR DRAIN LAYERS PERMIT
a TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work k Lot #
Street No. Street Name
Premises owned by:
Name of Firm: I d g/e- �Q�fti w o rk. �` rai' Phone:
Address of Firm: /14,1 /�V- Li zk �T la i 5
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with l 5 b,e - 3-6
Proposed Start Date Estimated time for completion -f7
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 -1,khaG/ IJ •%x the holder of Drain
layer's License No. �17,F/16 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
Licensed Drain Layer
Date: 8 - y