HomeMy WebLinkAboutDrain Layers Permit 35 Stedman Circle (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
No. 6870 Contractor WILCOX, MICHAEL (EAGLE)
L ion 0035 STEDMAN CIRCLE z��Z" Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 06019
,..Phone No, ,, (860)693-2027
Date Insp Needed # Date' Tns
Time Insp Needed � 'i-fie Ip
Inspected By
Work in Progress
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Inqut Date
Permit No. 6870 Town of South Windsor, CT
Permit Date 09/17/1998 Drain Layer Permit
Expiration Date 10/17/1998
Descrip: CK4359 LOTS10, 11 , 12, 16,22 PMT 49 , 55 STEDMAN
Applicant Location
Name WILCOX, MICHAEL ( EAGLE) 'Add n. ,0035 STED RCLE
Addr. EAGLE EARTHWORK SERV. , � Owner- B R G N ET AL
101 N MOUNTAIN ROAD
CANTON CT 06,0 '9 , f
Phone No. (860)693-2027
The Drain Layer assigne4° - it has va,lfd, 1-fi ense issued by the
state and hereby agrees to° 1;`th ter and cohditions set forth in the
attached 'Conditions' Al 1-4 or _s 11 ,,�_e i��n act:o1r-0hhce� with Town of South
Windsor standards, all "OSH qui'rOmen and t attached conditions.
4:.
Issued By �` i 1 e
Date Inspected Inspected -By
APPLICATION FOR DRAIN LAYERS PERMIT
�8 zo
TOWN OF SOUTH WWDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: C�? � ��'.�c'�� Lot # Z2�
Street No. Street Name
Premises owned by: fJ dal,e//-) kv ye,�
Name of Firm: `" F H W'O p K Phone: V�S OA7
Address of Firm:
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main Lay Lateral for Com erciad trial
Building of acres
Connection will be made with
Proposed Start Date Estimate ti for completion �2�
ALL WORK TO BE IN AC E ITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA RE IR TS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued toi,j; ; � : �� the holder of Drain
layer's License No. Z7 53116 Only holders of Pl, 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.
i
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Signed: Print Name
Licensed Drain Layer
Date: