HomeMy WebLinkAboutDrain Layers Permit 26 Stedman CirclefTOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6780 Contractor WILCOX, MICHAEL ( EAGLE )
Location 26 STEDMAN CIRCLE Address EAGLE EARTHWORK SERV .
Type Work: NEW SAID LAT 101 N MOUNTAIN ROAD
CANTON CT 06019 jl
Phone No. ( 860 )693-2027
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Permit No: 6780 Town of South Windsor , CT
Permit pate 04/02/1998 Drain Layer Permit
Expiration Date ,05/02/ 1998
Descrip :
Applicant Location
Name WILCOX , MICHAEL ( EAGLE ) Atir�r . ' 26 STEDMAN CIRCLE
Addr. EAGLE EARTHWORK SERV . A�)wner ;.MANNARINO GUILDERS i
101 N MOUNTAIN ROAD:
CANTON CT 06-01.9 �
Phone No. (860 )693-2027
The Drain Layer, ass i gaped th i s permi t ,his a ;vaI i'd 1`i cease issued by the
state and hereby agrees 'A
to aA!A the ter^tns� d- And con i t!i nts set forth in the
attached ' Conditions ' A1.1 ;wt�rk shal`] be in accordance with Town of South
Windsor standard's, all OSHA requirements, and" the' at"tached c:ondit-ions.
Issued By {f Title �f.� ,' -
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Date Inspected Inspected' SY
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS :
STREET .
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF NCO RAC T 'S PER IS (PRINT)
101 /V-ol � it r
STREET Am
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TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE — TOWN PINK . -CONTRACTOR - YELLOW — CONSULTING ENGINEER / DEVELOPER
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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 ��`�CI�/% � % �' Lot #
Street No. / Street Name
Premises owned by: �1
i v �� Phone:
Name of Firm: �-�i._/,� �.�:�- "vf '�� ,"_
Address of Firm:
TYPE OF WORK.
Lay House Drain; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
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Connection will be made with
Proposed Start Date 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
Permit is to be issued to Ale `11 /c 'i %, the holder of Drain
layer's License No. ,221 ,!6//6 Only hol ers 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.
ZSigned:' ' Print Name
Licensed Drain Layer
i 42
Date: