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HomeMy WebLinkAboutDrain Layers Permit 15 Sweet Meadow Driv Pe rmi;tirNo. 6906 Town of South Windsor , CT Me rad Date 10/30/1998 Drain Layer Permit 'Expiration Date 11/29/1998 Oescrip: CK 513 AND 9119 Applicant Location Name GERBER CONSTRUCTION CO Addt. 16 SWEET MEADOW DR Addr . 616 DART HILL ROAD 1 p,ner CHASE ASSOC . VERNON CT Q60,66 , i10 i9t t� Phone No. (860)875-6684 The Drain Layer asa Tgnepthis permit has e; v itd itoenae issued by the state and hereby agrees tfi0l, the terms and Cgdtl)t1dd's set forth in the attached ' Conditions'k 'All2ryybk shall 6e in accordance with Town of South Windsor standards , all OSHA regµlraawM.e. .apd the ;attached conditions. Issued BY Date Inspected H P 14 f'napeoted By" Gr _ TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No . 6906 Contractor GERBER CONSTRUCTION CO Location 15 SWEET MEADOW DR Address 616 DART HILL ROAD Type Work NEW SAN LAT VERNON CT 06066 Lelr 0, IL Phone. No. (860 )875-6684 Date Insp Needed �- p to�psp� A 4� 189E Time Insp Needed Inspected By Work in Progress TIFff' 5NSTa��k'b �tle "o CA4 3YGToV SOT uQ.AT� 'mnl� t>5 (wdn..c. ro Nil 1fPs IimJUAA ami'maL K°uw do mr.M qD%4-oaf. of xc�11 - 4�r " r sdaara� s z u3 wow w Inc/ A 6, v s,.N»fry , zdy - Input - V Date APPLICATION FOR DRAIN LAYERS PERMIT bWJ(p TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWNHALL 1540 SULLIVANAVENUE SOUTH WINDSOR, CT FEE$25.000l, H.w, on Location ojproposed work Lot # L I StreeIN . I Sir tName Premisesownedby: !"iha sr- rroemD Name offirm: �7K i*— ( Phone, Address ofFIrm: Cl 6 a U;If EA ✓zKwo , CA d Fn 6l TYPE OF WORK: / / Lay House Drain—1 Repair House Drain _ Lay Main ; Lay Latendfor CommerciaVindustrlal Building of_ acres N Connection w1I! 6e made with 6 PVL� ./ Proposed Start Date//'Z-9 Estimated ttmeformmpletion l� f' 76 ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT 1 Permit is to be issued to r -&A�� �hs/ 1.n L,.. the holder of Drain layer's License No. e�9 Z eyrZi Only holders of PI, PZ ® W9 limnses will be issued a permit. Permit will expire thirty (90) days after date of issuance. The undersigned Drain Layer hereby agrees to all the terms and conditions setforth in the permit and attached thereto. Applicant has received Town Street Excavation Permit JNo. �� yannd/or ConnDOT Permit No. � Signed; X �� ^'� / " PrintName 6�cr4� Licensed Drain Layer Date: //- Z` 90 TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: -QQLL ZS BUILDING ADDRESS : LcS 1 12 STREET : `;Q�7 fcAUO a Cserv£ SUBDIVISION: S\ jr Ce9sS •vc. NORM ARROW i ) I��- i ! i - t tl r I I I1il I II ! � ! I � . I ' ' r I ' I F I li - I H - � L L I •- `I i CONTRACTOR (PRINT) NAME Of CONTRACTOR'S SUPERVISOR (PPoNT) STREET ADDRESS SIGNATURE OAIE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSUL➢NG ENGINEER / DEVELOPER