HomeMy WebLinkAboutDrain Layers Permit 348 Strong Road (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7103 Contractor COVEN CONSTRUCTION CO.
Location 0348 STRONG ROAD Address P.O. BOX 427
Type Work RPR SAN LAT COVENTRY CT 06238
Rhone No. (860)282-0526
Date Insp Needed Date .Ins !
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Time insp Needede "Trsp.."
Inspected By -
Work in Progress "rZs
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Input Date L-70
YP r,944t No. 7103 Town of South Windsor, CT
ermit Date 12/16/1999 Drain Layer Permit
Expiration Date 01 /15/2000
Desclrip
Applicant Location
Name COVEN CONSTRUCTION CO. Addr,.= 0348 STRONG ROAD
Addr. P.O. BOX 427 Owner BURNHAM ROBERT G
COVENTRY CTy063-8
Phone No. (860)282-0526
The Drain Layer ass grte this per* -� has a u€ l a rJ-..1 cense issued by the
state and hereby agree's 111°' the -t0rm and Cs�nciitions set forth in the
attached 'Cond i t i ons'�'., n a cardanc with Town of South
Windsor standards, all" OS =raecW71" en1' and irh` :attached conditions .
Issued By 71
' 72,41
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Date I nsp4c d Iz .9/T Inspected
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APPLICATION FOR DRAIN LAYER PERMIT 1 Q�
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: 3 Y I? AID Lot #
Street No. Street Name
Premises owned by: , Rid?Aj
Name of Firm: LJ L ti S �� Phone: 7`41 -7
Address.of Firm: 50,., r3
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main
Building %� Lateral for Commercial/Industrial
acres
Connection will be made with !- vc
Proposed Start Dates 1,6 CI 1 Estimated time for completion ,O
ALL WORK TO BE IN ACCO DANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to uw / the holder of Drain
Layer's License No. n
. Only hold rs of Pl,08,W9 licenses will
be issued a permit. Permit will expire thirty (30) days after daf 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. an or ConnDOT Permit No.
Signed: Print Name: , 4-4(4L(6i/
4censed rain y r 1✓
Date: S
Standard Forms\Permlts\APPUCATION FOR DRAIN LAYERS PERMIT.doc