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HomeMy WebLinkAboutDrain Layers Permit 34 Lavender Lane 800020 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 05/13/08 GIS ID: 52600034 '01 �' r FEE: 60.00 MUNIS APPLICATION# 200800662 . EXPIRATION DATE: 06/12/08 APP LICANT'*":CA NT OC ADDISS 3 `L, '>:L ATI O N NAME: JMJ CONSTRUCTION QOIvfPATY""•. z° "" ElIDER LANE ADDRESS: 658 ELLINGTON ROA6;` '`f: x. CONS RUCTION CO INC 5 SOU WINDSOR,C 0 .07 �`"> L� �'t�T TON ROAD G <'<gJTH W-I�TDSOR,CT 06074 PHONE 860- - .•••282 Q6�8<:>:: WOR K DES CRIPTION: ON: NEW EA �u '>< ::;:... :THE DRAIN LAYER ASSIGNED TO THIS PERMIT A< ";.. ��-..:.,�: 'TIC STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORT .IN: 3E':�iTA NS yd 'SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARI?S''A7 L O HA'A I21 .. '.,:• �j„IH TACHED CONDITIONS. za`z. se V ISSUED BY DATE INSPECTED INSPECTED BY 5/13/2008 3:24 PM TOWN OF SOUTH WrwiNDSOR !NSPECTION REPORT PERMIT NO.: CONTRACTOR: LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: S /goo INSPECTED BY: WORK IN PROGRESS: c3 oak /-POO? ( {- 7¢S•(�,�;� r AS-BUILT: v INPUT: &M---- DATE: `O W/2007 Town of South Windsor INPSEMON REPORT 07 f ern���-� ;oa0a0 APPLICATION FOR DRAIN LAYER PERMIT 04"CR. TOWN OF SOUTH WINDSOR aPP/ a0o8 PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 3 Lavender 1-4h& Location of proposed work: e Lot # Street No. StreetAame Premises owned by: /OOtts4L/C jal'-1 Name of Firm: Phone: ��aSr Address of Firm: S-f 4 / c P, o 24 TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water Well Proposed Start Date cS- /3 Estimated time for completionDHk ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITION ATTACHED TO THE PERMIT Permit is to be issued to T kn u� cTMJ-epmj c, ; holder of Drain Layer's License No. a?08S 3© Only 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. Signed: —' 9 Print Name: Licen d Layer Date: d standard:Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc mocar mm M21441 ` " a r ■ ■iri�ii � i i� : ..i __rr�. ii iellrioli �r r���r_ _r� r �a ■ ■ ■ RN ; r ■ r r ■r rtr rr rr ■r� r�rrr rr rr�� err r ■r� ■ , � iiii rr �In ■ iii ■ �i_ , ■ ■r �rr�::� r ■rrrr y