HomeMy WebLinkAboutDrain Layers Permit 102 Steep Road i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No 7932 Criny..tr:5q'tp,V JAIS HIDW.E
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Permit No. 7932 Town of South Windsor, CT
Permit Date 06/14/2005 "' Drain Layer Permit
Expiration Date 07/14/2005 ' fi?y sko
Descrip:
Applicant OF `t. Fac` ion
Name JAMES THROWE
A �'a .�t102 ST-EEP R OAA
Addr. VANS SEWER & SEPTIC
ANM
97 RIVERSIDE D
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Phone No. (860)289-0<09`5'"� >._,<':.: �><>... .; ,:<„>><<'Y; .;�� ��":>..
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`The Drain Layer s ' .: ,
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attached Conditions. A1I wo:xl ,s. a >r i, ;4_ .0 NO bx.�:&Tj�re,:� ith. Town of South
Windsor standards, all OHHA r :quiretT�$ # Sys 7 the � tache�nditions.
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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. 9treet Name
Premises owned by: V1 1
Name of Firm: p �S hone. ��
Address.of Firm:
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S p 3 5
Existing Water Supply: Public Water Well
Proposed Start Date rl mated time for completion J A
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 �� the holder of Drain
Layer's License No.,� �3 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. _-X-0'�_DJU
Signed: Print Name:_
a
Licensed Drain Layer
Date:
Standard Fonns\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc