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HomeMy WebLinkAboutDrain Layers Permit 151 Strong Road TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7412 Contractor COVEN CONSTRUCTION CO. Location Q 1,6 €� tt "} Address P.O. BOX 427 Type Work RPR SAN LAT COVENTRY CT 06238 e No. (860 )282-0526 Date Insp Needed Is . Time Insp Needed Inspected By i Work in Progress 5 2 dL 5 („r L. AGfuD 6A5 ((.t A)SfA ri-P -� Date OR eh Town of South Windsor, CT ermi�t..�IC6 7412 Drain Layer Permit permit ate 04/24/2002 " :xpiration Date 05/24/2002 )escrip: REPAIR SANITARY LATERAL Applicant ,b Location Jame COVEN CONSTRUCTION CO.� r 1 STRONG ROAD kddr . P.O. BOX 427 � � � AV . LEE ROBERT & PAULINE (BURN COVENTRY CT Rhone No. (860)282-052641 - ' f /The Drain-,Layer a s s as d- 1 issued -by issued y the state and hereby agr s � nd do s set forth in the attached 'Conditions' . 1 n a with Town of South Windsor standards, al J ched conditions. Issued By Date Inspected 5 Z?i - s y APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: d h YJ .Lot # Street No. Street Na e Premises owned by: ` e-Y Vqal y- Name of Firm:(3DU o ) (�44W 1yt-C' Phone; 0 7�-� Address of firm: o a 3r TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral fo Commercia Industrial Building of acres Connection will be made with Proposed Start Datey o'v Estimated time for completion 4-5 p ALL WORK TO BE IN ACCOR ANCE WITH TOWN OF SOUTH WIND _OR STANDARDS, ALL OSHA REQUIREMENTS AND COND 0� TTACHED TO THE PERMIT ( w c Permit is to be issued to - v 6A Y It - th holder of Drain Layer's License No. ao� q Only holders of P1, &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. 1 Signed IJA A Print Name: Ac I-IAI\q f y / Licensed Draid Layer Y Fo')Date: Standard orms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc