HomeMy WebLinkAboutDrain Layers Permit 32 Wildlife Trail I
Permit No. 8089
Permit Date 09/12/2006 Town of South Windsor,Expiration Date 10/12/2006 Drain Layer Permit CT
Descrip: SANLAT 60.00 CASH
Applicant
Lo:e ti.on
Name FOLSOM CONSTRUCTION
Addr. 138 RYE STREET td�l IaOT �' TIVERY�PLK 5:iTBDIV
wn ;
i
SOUTH WINDSOR C ;060,74.
Phone No. (860)528-8926
The Drain Layer
assigneehsx�nz hasia1d Zicens'esCied by
state and hereby agees' tk a31 the terrt�s and con
attached the
Conditions All wcs' date°ns, set forth in the
Windsor standards, al
sha11t . 'zord .ne. with To..fivn of
l OSLiA requiptt#etls,' �zd th South
e at. ach
ed.::cariditions.
Issued BY
--------------------
Date Inspected
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No.
Location 8089
LOT 9 RIVERWALK SUBDIV Cont xa: t'or"FOLe..
Type Work NEW SAN LAT t Address .. 138 RYE ,&TRTRUCTION LLC
qr EET
DUTH WTwz)4OR, CT 06074
Phone tIQ` (86 ).S2g g'9:28 -.
Date
Insp Needed
---------
dt f7]3 ....... r
Time Ins
p Needed -------------
—
Inspected By
Work in Progress
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TOWN OF SOUTH WINDSOR
SANITARY -, SEWER LATERAL FIELD , LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SUBDIVISION: ,ei,ver (jg//Lll'
NORTH ARROW .
z
or
ISM
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h'
�J 3_
CONTRAC OR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
/38 �yo --
STREET ADDRESS SIGNOURE
�7 �t Y S'Or CT- DATE
TOWN STATE ZIP INSPECTED TOWN
DATE
TELEPHONE NUMBER ! 6�--
WHITE TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER
41
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
. , FEE $60.00�
.p
Location of proposed work: J��
Lot#__9 __
Street No. Street Name
Premises owned by: d�� i /v��£�/v�J
Name of Firm: phone: Z -
I Z�
Address-of Firm: ,h �✓ a6d 7
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main - • Lay-Lateraf for Commerdal/Industrial
Building of acres
Connection will be made with
--------------
Existing Water Supply: Public Water Well
Proposed Start Date d6 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 el l Se'h�1
Layer's License No. �o- q�,� the holder of Drain
Only holders of P-1
Will be issued.a , P-7 or W-9 licenses
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 lh the permit and attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
-CBYD No. -2b 3&Ov
Signed: tint Name:
License D 'n yet
Date:_ �1 ?�O.6
Standard FamA\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc