HomeMy WebLinkAboutDrain Layers Permit 62 Steep Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7835 Town of South Windsor, CT
Permit Date 10/06/2004 Drain Layer Permit
Expiration Date 11/05/2004
Descrip: LAY HOUSE DRAIN
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Applicant Location
Name JAMES THROWE )d 006,2 $VEEP ROA
Addr. VANS SEWER & SEPTIC. f [TIILSON 13OiTOIAS.'-k.& LAURA J
97 RIVERSIDE DRIVE 3
VERNON ;ACT 06A.66:::.........
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Phone No. (860)289-0095 :.
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The Drain La er'a' ��:d.<�'h:�s `erm"i.t` 17a�^'' "Y. �: G� Y
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state and hereby agree.. ta.'.?��;>I � �is :::;.<..��d_
attached 'Conditions' Lill 5ttvc st3ery aahe kY� h TCYwri of South
Windsor standards, A:ll':;4iSFt1% :ee3a_;rions.
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work:, Lot #
Street No. / Street Name
Premises owned by:/ �� , �/llSo,
Votyl-s i^ fName of Firm•. � Z.. �v � U� �h�ne. 5 S
Address of Firm: q 9 0ue^���
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main. ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 54R 35
Existing Water Supply: Public Water /'0 Well
Proposed Start Date 06T Estimated time for completion Oct O
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 Jame iM VV"-- the holder of Drain y
Layer's License No. _2G h32d Only holders of P-1, P-7 or W-9 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.
CBYD No. oUU
Signed: Print Name: :70WE57 96 WC
Licensed Drain Layer
Date: l G
Standard FormAPermits\APPLICATION FOR DRAIN LAYERS PERMIT.doc