Loading...
HomeMy WebLinkAboutDrain Layers Permit 40 Wildlife Trail (2) Permit No. 7990 Permit Date 10/26/2005 Town of South Windsor, Expiration Date 11/25/2005 CT Drain Layer Permit Descrip: INSTALL SANIT. SEW : ATRAL Applicant LO-81tion Name FOLSOM CONSTRUCTION L.L. Addr. 138 RYE STREET 4'0 lzbtI$ TRAIL:;, OkxsTer RIVERW1�LTt SOUTH WINDSOR CT.;06©7 : Phone No. (860)528-8928 The Drain Layer asaigned-t'hs state and hereb a 1� z has1�d license $ ued b Y gr � :; to :he 'terms 'and cohdit; '` 'c "', Y the attached 'ConditionsF 11 w� 9ns s$t forth Windsor standards, sh • acadaeQ -wst.h ToFyn ofnSouth all::: OSHA ;e{I `ttiY <r'`. .. ::> atta�hed:::co. itions. Issued By --T Date Inspected Pe C e BY TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7990 Contra` 'tor•FOLSOM'"'OOUS RUCTION LLC Location 40'WILDLIFE TRAIL AcTd,re ; ::' 721 "'STREET Type Work NEW SAN LAT E WTNL3SOR CT::.:.06074 PI1one.No E86fl`}S2$ 8928 Date Insp Needed ------------- DaLa Insp Time Insp Needed ------------- Inspected By Work in Progress ------------- , .:.wiury✓ r Yy j V' -------------------•�-++- -_--.:. J. ------- ... .. i.... APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, Cr FEE $60.00 r Location of proposed wo d;' 10 ! Lot #111 li D Street No. treet Name Premises owned by: Name of Firm: e�• J Z7 Address-of Firm-3L TYPE OF WORK: Lay House Drainf Repair House Drain Lay Main , Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Dip Existing Water Supply Public Water Well Proposed Start Dated Z Estimated time for completion ALL WORK TO BE IN ACCORDANCE WITH'TOWN OF SOUTH WINDSOR STANDARDS ALL OSHA REQUIREMENTS AND CONDUIONS ATTACHED TO THE PERMIT Permit-is to be issued t Onl o oAo Layer's License No the holder of Drain . y holders of P-1, P-7 or W-9 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. Signe —` Print Name: n d Drain Layer Date: Standard Forms\Permiks\APPLICATION FOR DRAIN LAYERS PERMIT.doc