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Drain Layers Permit 45 Sweet Meadow Driv
Per5rYt INO. 7459 Town of South Windsor, CT Permit Date 07/10/2002 Drain Layer Permit Expiration Date 08/09/2002 Descrip: LOT 24 STONE CROSSING Applicant /�� Location Name WILCOX, MICHAEL (EA Ak dNN N S yy WEST MEADOW OR Addr . EAGLE EARTHWORK SERV NARIND BUILDERS 101 N MOUNTAIN ROAD CANTON CT iJ Phone No. (880 )583-2027 f , The and Layer a i s as a set issued by the attar antl hereby am a nd s L forth in the attached 'Conditions ' .Mfl r a with Town of South Windsor standards , l yYE, G ched conditions. Issued By _ Date Inspected 911010Y �. (�hs�',e®��y e.--.-9 £B'.A_ TOWN OF SOUTH WINDSOR INSPECTION REOCET Permit No . 7459 Contractor WILCOX , MICHAEL ( EAGLE ) Location 45 SWEET MEADOW- OR1 Address EAGLE EARTHWORK SERV . Type Work NEW SAN LAT 101 N MOUNTAIN ROAD CANTON CT 06019 � 0 %N N .6hZeq o . (86O )593-2027 Date Insp Needed 148 I __— Time Insp Needed _ 'sa_Ifn Inspected By C X. H Work in Progress _.SWc.. 4ore 6sF d9-6..YH' ` Y o UR o . CALF k, Date _.. APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: .SG/�'.Gl (/l4QQUzrd Lot # yl �.7 Street No. / /Street Name Premises owned by: / IQANcen:Hun Yl' , r}�iGfEG`c [�,, �'� Name of Firm:je L/Je•'J 4 4bd�I� Phone: .Z Adtlress of Flrm: LD( JJO^- ti ®HOr74` 4 ed TYPE OF WORK: r/ Lay House Drain K ; Repair House Drain Lay Main • Lay Lateral far Commercial/Industrial Building of acres t Connection will be made with ` /o{C Existing Water Supply: Public Water_ Well Proposed Start Date 7 L,, Estimated time far completion 7-17 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 X the holder of Drain Layer's License No. 2 9/16 Only holders of PI or P7 licenses 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 N�o��y'p/� Q Signed:' //tr a 'f/" 1.CO Print Name: eoL44e� Full, �� Ucensetl D2in layer Date: S OZ SWMa %rMs MuWPnCKOON TOR DR UY PFAM c TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 7— I ©—©g BUILDING ADDRESS : ✓< a Y 4 6 STREET : cSG/ta✓-}' MP�7cP0'LJ (iZ SUBDIVISION: NORTH ARROW 1 q � �y/yam— _ . ( 1 - I C ICI` f r r t " La / f �aE , i T T Y r iT CONi kNe]h CON CTOR UP V (PRI s/m�EEr ADDREss �,p� y� s T RE (.� C Oh ) � '� np /q � � Z/-- I N STAT ZIP INSPECIEO BY TOWN �60 - 69 � - DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONIRACNR YEILOW - CONSULTING ENGINEER / DENELDPER TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: _ tw-t L_ -Z ZOuZ BUILDING ADDRESS : �-T 2-y STREET : S\N7�'�-i r' AOous D2v� SUBDIVISION: Sio,vz CE�SS+Nb NORTH ARROW � �r 14 l + j }. IT T71 � . II � T I � f l -t i t t2T l T l t i I- -I {1 t r f i I AN 2t>w A7y, -T'P CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIGNATURE DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER