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HomeMy WebLinkAboutDrain Layers Permit 44 Sweet Meadow Driv (2) ,4 Permit. Da 7498 Town of South Windsor, CT Permit Date ate 092002 Expiration Date FEE 2146 . 6 Drain Layer Permit Deacrip:, VERNON FEE 214fi . 84 INCLUDED „ Applicant W N Sep Location EAGLE NerveWILCOX, MICHAEL AAtla� SWEET MEADOW DRIVE r• Atltlr. EAGLE EARTHWORK S {@Q NARINO BUILDERS 101 N MOUNTAIN R Phone Noo..CAN (8(SBO)fi93-2 Q fi H The Drain Layer pas t license ' saved b the Ste e d hereby a 4eel all h rXtlg ions set forth In theattached standards, 9I lice with Town Of South Windsor atantlertls, a ttached conditions. Issued By Date Inspected �so ad By u e TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit li 7498 Contractor WILCOX , MICHAEL ( EAGLE) LocatioN -jgM- 6% - - Address EAGLE EARTHWORK SERV. Type Work NEW SAN LA 101 N MOUNTAIN ROAD CANTON Ow N S APhy No. (860 )693�202019 Date Insp Needed Time Insp Needed �. Inspected By Work in Progress r SOR • C Date APPLICATION FOR DRAIN LAYER PERMIT r` TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: 44 &md1*+ i 1 fo& Lot R1 — Street No. I Street Name Premises Hn owned by: L I44M q✓: b Hk 'J'd&5 �' Name of Firm: �NdIP }�'od-)'lr.i[rs�,r,<� /Phone: /q��OZ 7 Address of Flrm: /0 / Af 9q/�'ti r L( vif—r-h !C/A TYPE OF WORK: / 41 Lay House Drain /0 Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with J/ Existing Water Supply: Public Water Well Proposed Start Dated Estimated time for completion 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 11'L4A0 U�r`�ce1: the holder of Drain Layer's License No. ZI 5// Only holders of PI or P7 licensee 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. CBYD No. Signed: /E Print Name: r 1J k�( � )/✓ ICL1y' Ucensed Drain Layer Date: (3--Z,7- 0Z stlMaE rvwwe,mhV'aa =N 2 MIN AY FERMr.EM