HomeMy WebLinkAboutDrain Layers Permit 85 Felt Road (6) 800028 TOWN OF SOUTH WINDSOR, CT
PERMJT NUMBER
f' DRAIN LAYER PERMIT
DATE: 06/23/08
GIS ID:32400085
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FEE: 60.00
MUNIS APPLICATION# 200800936
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:.: EXPIRATION DATE:
:. 07/23/08
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LICANT I C ANT =L0
NAME: J& ,::,;> CATION
H SLATER CONST
ADDRESS: 75 CO MMERCE WAY y: I3SS' <'"``'g5' ELT 1 AD
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THE DRAIN LAYER ASSIGNED TO THIS PERMIT TEAS<A`>UAI �
THE TERMS AND CONDITIONS SET FORTIN.kEATTACIi<4 }$' St`fE AND HEREBY AGREES TO ALL
L ?FO SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARbS;>AT; � p { ;j-Q,a,# ACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
6/23/2008 11:41 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:_ _ <� 64ee
LOCATION:
TYPE OF WORK:_ _'"_)L6>u7..aA
DATE INSP NEEDED: DATE INSP: g /
INSPECTED BY: 52'0
WORK IN
PROGRESS: I08 5t�2T Q rXo , a M s 04nc"A %z
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AS-BUILT:
INPUT: DATE: L� O
W/2007 Town of South Windsor INPSECTION REPORT 07
g000ag
" APPLICATION FOR DRAIN LAYER PERMIT
' p pl 41 ao OS 007W TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: �20 Lot
Street No. Street Name
Premises owned by: ��445 -17ddd
Name of Firm: Phone: � `Y2
Address of Firm: 7S
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 Estimated time for completion - S
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 J
the holder of Dram -
Layer's License No. _- �- d . Only holders of P-1, P-7 or W79 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 o . 2W6 23cy) qc9Z
Signed: Print Name: cJ� S ram,
Licens Drai Layer
-Date: 3 tJS
Standard Foans\Permits\APPUCATION FOR DRAIN LAYERS PERMIT.doc