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Home My WebLink AboutDrain Layers Permit 438 Pleasant Valley 800035 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER �...... DRAIN LAYER PERMIT DATE: 07/22/08 GIS ID: 72900438 °=y. MUNIS APPLICATION# 200801079 "<> Y' '„. FEE: 60.00 ' EXPIRATION DATE: 08/21/08 AP C LI `;��> A N LOCATION NAME: J&H SLATER CONST CO`'" ...xm 8` EPA SANT VALLEY ROAD ADDRESS: 75 COMMERCE WASFR< ::3,;:=«;>: . : C?QDWIGHT HOMES LLC SOUTH WINDSOR,QT074 r89 StATER RD PHONE " z, "Oi 1 V�NDSOR,CT 06074 860-528 51S'2 rki WORK DESCRIPTION: y z NEW SEEI*, .L ? � THE DRAIN LAYER ASSIGNED TO THIS`fE � " � '}} THE TERMS AND R ASSIGNED RMIm4IA$ '.:. "...,> .>:,.:.,, „>::, ,:.......::. �I�SUEIA" '1 [E°SATE AND HEREBY AGREES TO ALL CONDITIONS SET FORTY Mvkfit.ATT s ry�I N$';f>AI I,WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS„�YT J f�SIA:. f ANlkTHE ATTACHED CONDITIONS. ISSUED BY DATE INSPECTED INSPECTED BY 7/22/2008 10:54 AM { TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: LOCATION: TYPE OF WORK: - DATE INSP NEEDED: DATE INSP: 7 INSPECTED BY: WORK IN PROGRESS:- C©,,4r�,Ao,- t� )v r LL 77� crP h a�e AS-BUILT: INPUT: DATE: 'LS D W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WIN'DSOR, CT FEE $60.00 4135 Location of proposed work: �� /� Lot # Street No. Street Name Premises owned by: Name of Firm: Phone:.�2�s Address of firm: 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 a Ov Estimated time for completion 2- 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. 6 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 a ched thereto. Applicant has received Town Street Excavation Permit No. N and/or ConnDOT Permit No. CBYD No :Z- Sign Print Name: J1� Licensed Drain Layer :Date: /25 61? : : Standard.Forms\Permb\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 7- 23 Q X BUILDING ADDRESS STREET SUBDIVISION: fsAr'®�' NORTH ARROW 10 60 It �1. CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIGNATURE S= &)/'A A(Cfr J {f 6 '7 y , j DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER