HomeMy WebLinkAboutDrain Layers Permit 19 Welles Lane (3) Permit No. 6693 Town of South Windsor, CT
Permit Date 09/23/1997 Drain Layer Permit
Expiration Date 10/23/1997
Descr. ip: LATERAL FROM MAIN IN AVERY ST.
Applicant Location
Name SIMSCROFT ECHO FARMS 41. LLES LANE
Addr. P.O. BOX 581 INO BLDRS
SIMSBURY CT
Phone No. (860)651-0231
The Drain Layer as s s a i ense issued by the
state and hereby agre t ` nd set forth in the
attached 'Conditions a with Town of South
Windsor standards, all u m t t ched conditions.
Issued By
Date I nspe d �� T yam'
I,
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
( Permit No. 6693 Contractor SIMSCROFT ECHO FARMS
' Location . 19 WELLES LANE Address P.O. BOX 681
Type Work NEW SAN LAT SIMSBURY CT 06070
Phone No. (860)651-0231
I
Date Insp Needed Uate ' nsp:, a .7
Time I nsp Needed me rlsp
Inspected By Z-
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Work in Progress -777777
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Inp.ut; Ib -10 ~- �l Date �9 2�
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work as z&a,, Lot #
Street No. Street Name
Premises owned by:
Name of Firm: S:w,_r c,.v„cl EcAo aw.•s ze Phone: h' o G 1-8 36 7 6
Address of Firm: Pla ,6 gY CK-8 fw nz C7- O(o 0 7 O
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for ComJnercial/Industrial
Building of acres LOY 4fik -
Connection will be made with
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 .q :e AS% � '•��+ 7� "t71e holder of Drain
layer's License No. 00109 ,P4 8 . Only holders of Pl, 7 & 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: lJ" Print Name '/��%c r LC ✓�
Licensed Drain Layer
Date: C:)