HomeMy WebLinkAboutDrain Layers Permit 65 Sweet Meadow Driv s-
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Permit No, 27491
002
Permit Dote 0te 09/002 Town of South Windsor, CT
£kplration Date OFEE
Drain Layer Permit
Desc rip : INCL VERNONNON FEE 2146 . 84
Applicant EAGLEocation
(� N
NameWILCOX, MICMAEL AG(E'J W Sf�ly, SWEET MEADOW DRIVE
Atltlr. EAGLE EARTHWORK S T
101 N MOUNTAIN R NARINO BUILDERS
CANTON C t'
Phone No. (860 )693-2
The Drain Layer t h a`y1 license issued by the
state and hereby a all a a ions set forth in the
attachetl 'Contlitio i - noe With Town of South
WInE60r SLHntlar tle, ttachBC conditions.
Issued By _
p - L�
_ Dots Inspected ��T �ad By
TOWN OF SOUTH WINOSOR INSPECTION REPORT
Permit No. 7491 Contractor WILCOX , MICHAEL (EAGLE )
Location l 66 SW9d(, 'Dow DRTMB Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
Z't O21- W N S@ CANTON CT 06019
r� No. (960)693-2D27
Date Insp Needed
Time Insp Needed l/'/5 A•^
Inspected By
Work in Progress ) 5 - SD N8 'Yo No_aa 'o.c
a � Doti V
f
SOR' C t c.N1 Date
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00 q� A
Location of Proposed work: /o S 5coee{ f l e Lot # 7 y
Street No. r- Street Name
Premises owned by: / I�q ana'.A� r/n/o brfc u�J .
Name of Flrm: �� P'MCr M/'� Phone: L -24e7
Acidressof Firm: ID/ tdfH /CIO//nt� �n /C(
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main ; Lay Lateral for Commertlal/Intlusbial
BUIldino of acres
Connection will be made with u/�[/C.
Existing Water Supply: Public Water Well
Proposed Start Date 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 the holder of Drain
Layer's Ucense No. 278//6 Only holders of PI or " 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 No.
q/�
Signed: /° [LLTew/ Print Name:! la �( 7 W' F�0✓
Ucensetl Drain Lay r
Date:
SmWd FOR Dwux uv Faa4r.m[
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: P'ZZ-CZ
BUILDING ADDRESS :
STREET : Scd �tl� Y' 04J
SUBDIVISION: Sw,,4 / IC1lW o
NORTH AR/Row/ 9P DV �,64
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rowN a ZIP wsPEcrzD BY Tawx
6� 7n27 PATE
TUEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR Y010W - CONSULTING ENGINEER / DENYLOPER
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS L Or"#"zZ
STREET : SwECT/Y(�Aq:Acc.: `.��yVl
SUBDIVISION: 5'2NE CAW SS�nPEj
NORTH ARROW
77
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CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
RATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER