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HomeMy WebLinkAboutDrain Layers Permit 49 Thomas Street Pei, it ,No. 7140 Pe relit Date 05'0212000 Town of South Windsor, CT Expiration Date 06/01/2000 Drain Layer Permit Descrip: Applicant Location .Name SKIPS SEPTIC Adar.. 0049 THOMAS STREET Add r. 2i MUDDY BROOK ROAD QYrner ,iOPELIU6 HARRY A ELLINGTON CT Phone No . (860)8I5-2332 The Drain Layer sae BN tl Mta Permit has 's v,Clid license issued by the state entl hereby egrsae to ayl this terms and dOndltiOna set forth { n the Windsor standards , a ''. AF5 Wbrk shall be in 90p0pdancb with Town of South Windsor atantlartls , sY,f OsoA "regpire"nte; and the atitached conditions. Issued By ;,7 � Date Inspected _ JTY +� C Iinspected�By - �, TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7140 Contractor SKIPS SEPTIC Location 0049 THOMAS STREET Address 27 MUDDY BROOK ROAD Type Work NEW SAN LAT ELLINGTON CT 06029 Phone No . (860)8I5-2332 Date Insp Needed ��i[� T.fi B to �I nsp Time Insp Needed /A"'bn Time Ip§pI ) R .F4 Inspected By 7 /¢T ftal jL' Work in Progressi� / ✓ rr /�[k' `1f�� Zile T / Sz /A s v n o scy.� Input Date SIL�ni 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: {LYq A-5 ame Lot #_ Street 4q . :f No Street N Premises Owned by: Name of Finn: ' KPP5 6EP77c- c59Rmc E_ Phone: E7SZ 132 Address of Firm: 27 AQ104 r30cok Kp £'LL ra GrA AJ TYPE OF WORK: Lay House Drain K Repair House Drain Lay Main ; Lay Lateral for Commerdal/Indostnal Building of_ acres Connection will be made with hc- Spz 3 r Existing Water Supply: Public Water Well Proposed Start Date S-4-oo Estimated time for completion S- s- o0 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 7dNn W RLKm the holder of Drain Layer's license No. OOi ono a S . Only holders of P1 or P7 licenses will be Issued a permit. PERMIT WILL EXPIRE THIRTY (303 DAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terns and conditions set forth In the permit and attached thereto. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. CSYD No. 2600 /40 19r7l Signe : I an setl d rain La Print Name: y Mio L?s 6j?&-eez J2 yu Date: 6-Z -00 S nNw mrm:�l6µpp1 =N FOR OWN Uk m p 7dX i 0 0 \Nq 90 Z 40 h B-12 s ACT - ROAD _ `.. as z q SNET 0 866 WCis �TWIN _ 86 srvEo ,5, m �59.5 / B6 � 0 235 0 0 Y9FR. T49 x i 28bK F yY21 235.)O Z � gy, FR. I fh T.F. 'yp+W YJ 0 0 tE & 0 ' C �• PZELL Y /Z 'wv.vN w Li 'tAT. TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS : STREET : SUBDIVISION: NOBTH ARROW ItI � 6RI i-d T --T- il T-„Iy 1 -T}l_7 � ESE +i iA r b f I 11 � L # Et F -1 - k i--T P oEl r� Ici ; IIA _r } � z ¢ jj- dKrPS SEync SfRorcE /uC TeM le9�KE2 CONWTOR (PRINT) NAME OF CONTVV R"S ER0150 (PRIN 21 Maday .Bn.Wok TZD S-s-oo STREET ADDRESS SIGMA TOWN STATE ZIP IN ECTEO TOW $60 W 2332 RATE TELEPHONE NUMBER WHIM - TOWN PINK - CONTRACTOR YELLOW - CONSULONG ENGINEER / DEVELOPER