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HomeMy WebLinkAboutDrain Layers Permit 44 Sweet Meadow Driv c . PeiW.iE`SYo. 7594 -Permit Date 10/30/2002 Town of South Windsor , CT Expiration Date 11 /29/2002 Drain Layer Permit Descrip : OLD PERMIT EXPIRED 1Y7498 ) Applicant Location Name WILCOX , MICHAEL ( EA )pW N SA�dg SWEET MEADOW DRIVE Addr. EAGLE EARTHWORK SER r<M ARINO GUILDERS 101 CANTON N N MOUNTAIN RCA C 4 Phone Noo.. (8(es0 )693-202] The Drain Layer sUX * i H state and hereby ag `4$ 1 a ^8' icOnse issued by the attached Condition a^ ne et forth in the Windsor standards, a in rk a e With Town of South <t. ached conditions . Issued By S. �r Wv A Data Inspected f^ , uep3 Y TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. ! 7594.E Contractor WILCOX, MICHAEL ( EAGLE) Location + DW6"%dE Address EAGLE EARTHWORK SERV. Type Work NEW SAN LAT 101 N MOUNTAIN ROAD CANTON CT 06019 KK OAjf N SPFy No. (860)693-2027 Date Insp Needed NlA AID gQns 101IO2 Time Inep Needed Inspected By Y# E 1 Work in Progress P c S 3 n � 4S -8a)) ' dS0R • CC!®� Date TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS : � Qt ZL swee,l m0ad,oed STREET : Joeet Aeado d SUBDIVISION: -rol�4 y� P NI MROW 44 r t t-7 I L ( ( 1 I T i , I -4 T I ��_�RT�iube,e l�i�Ce (,UTk CONTRACTOR (PRINT) N4 0 COF�RACTORPS SUPEAVI R (PRINT) Ji i Aln rt6 M 1x m{'m 'K STREET ADDRESS SICNATUR C)C&cmn & TOWN STATE Z� INSPECTED BY TOWN 2� DATE TELEPHONE NUMBER WHIT - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER 47s'7¢. APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, Cr FEE $60.00 Location of proposed work: 41 S. ee4:Am d _Lot # I/ Street No. Street Name Premises owned by: Aneapha Au, jw�l/� , Name of Fimr._9zg) /�4— rw✓ kwoe q>L Phone: 693d7Z7 Address of Fimi:—LQLA2&� -/a 0 dneas ,@c/ TYPE OF WORK: Lay House Drain - - Repair House Drain Lay Main • Lay Lateral for Commercial/Industrial Building of acres Connection will be made with (o`IPVL Existing Water Supply: Public Water Well Proposed Start Date /o-an Estimated bme for completion io- 30 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 /18A4 a( UALox the holder of Drain Layer's License No. 270//@ . Only holders of Pl or P7 licenses will be issued a permX. PERVOT 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. �yy /,� Signed: /r ( W v Print Name: /� ,04, e` Ucensed Drain Layer Date: IV-N)22L Sand dFwns rmttewF CAEONPoR DR DYERS FERMR.dx