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HomeMy WebLinkAboutDrain Layers Permit 8 Sunrise Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6809 Contractor WILCOX CONSTRUCTION CO(DARRYL) Location 8 SUNRISE Address 535 OLD STAFFORD ROAD Type Work NEW SAN TAT TOLLAND CT 06084 Phone No. ( 860 )871 - 1539 Date Insp Needed Time Insp Needed Inspected By Work in Progress '7p, rA yes C.a9 k, c4ov'(__ TMMFj"W As t nPut Date Permit Date 1998 Town pf SCUT W'lhdsor CT Permit Dote Ote 06/138 Drain Layer Permit Ezpiiation Date 06/13/199D Dascri p : Applicant Location Name WILCOX CONSTRUCTION CO(DARRYL ) Addr . 8 SUNRISE Addr. 535 OLD 9TAFFORD ROAD Owner N. 8 H ENTERPRISES TOLLAND CT 060'84 Phone No. (860 )871 -1839 The pram Layer assigned this permit has a valid license issued by tire state and hereby agrees. toiall the term, and odrditidle set forth in the attached 'Conditions ' , All pork shall be in accicrd n A; with Town of South Windsor standards , all, OSHA� requd rem,nt,, and the attached conditions . Issued By ---- Title Date Inspected ��g ��. �Fnsp6gigtl By — __ TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS : STREET : SUBDIVISION: C aIIIiEi NORM ARROW I f _ 1 I � r �r -I � I r � � o A Jrl�IF I �I �i��tr r��ksl C✓o ��z � `� CONTRACTOR (PRINT) / AI C NTRACTOR'S SU ERVISO (MIN „C✓a�C - STRF£T POORES� S 7— �� to DATE TOWN `� STATE ZIP INSP ED BY TOWN p — B l l /ObP J 111` . DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER APPLICATION FOR DRAW LAYERS PERMIT 5' 9 z TOWN OF SOUTH WWDSOR PUBLIC WORKS DEPARTMENT n&0y TOWN HALL 1540SULLIVANAVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work (� 7F5 � Ah Lot # Street No. Street Name Premises owned by:ls,- ,v Name of Firm: /lIwr/ 2Wd T/Y� Phons:zwl-?Z/-/StA " Address ofMrm.S?_S 0/�/ s7z-i/.o-r�/ /j'�✓Tof<+�rvr o�6Y TYPE OF WORK: Lay House Drain � Repair House Drain Lay Main_; Lay Lawralfor Conunerdai/Industrinl Building of_ acres Connection will be made with 6C9v� Proposed Start Date, / VEstimated dmeforcompletion 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 22ff.-f '/C zeli.il o 52 the holder of Drain layer's License No. 6v?0,U q7: . Only holders of PI & WR licenses will be issued a permit. Permit will expire thirty (301 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. Signed:_ Licensed Drain Layer Dale: