HomeMy WebLinkAboutDrain Layers Permit 26 Vincent Circle i
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TOWN OF SOUTH WINDSOR INSPEC T IO14 REPORT
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Permit No. 6511 Contractor JMJ CONSTRUCTION CO.
Location 0026 VINCENT CIRCLE Address 658 ELLINGTON ROAD
Type Worm NEW SAN LAT SOUTH WINDSOR CT 06074
Phone"No. (860)528--7889
Date Insp Needed Data Insp;,_,
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Work in Progress
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Perpi t No. 6611 Town of South Windsor-, CT
Permit Date 11/04/ 1996 Grain Layer Permit
Expiration Date 12/04/ 1996
Descrip;
App I i cant L ocat.i on
Name JMJ CONSTRUCTION CO. Addr. 0026 VINCENT ClkCLE
Addr. 658 ELLI:NGTON ROAD Own er-T`DART- HILL. REALT--e� INC
SOUTH WINDSOR CT 06074
Phone No. ( 860)528-7889 ,
-(he Drain Layer' assigned this permit has a valid -license issued by the
state and hereby agrees to al] the terms and conditions set forth in the-
attached 'Conditions, '
. Al 1 work 5ha" 1 be i n accordance with Town of Sor:jt.h
Windsor standard, al V {OSHA and the attached conditions.
Issued By .__. -- ZZ Title -
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Date Ins pect�� /e �' �G ._..._ - Jnspe*uted By
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH VVRYDSOR
PUBLIC WORKS DEPARTMENTTOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: Z &-' V/di T(�1�'i;/Z' Lot # _
Street No. Street Name
Premises owned by:
Name of Firm: Phone:
Address of Firm: _
TYPE OF WORK:
Lay House Drain V ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with !; Dk� 3�
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 License No. ' C2 . Only/holders of P1, P7 & W9 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.
Signed: ` .L ��f Print Name j)'l I it .l T 10 U'
Licens d Dr n Layer
Date: