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HomeMy WebLinkAboutDrain Layers Permit Abbe Road (2) 800031 TOWN OF SOUTH PERMIT NUMBER W I N D S O R, C T DATE: 07/02/08 DRAIN LAYER PERMIT GIS ID: 00609999 MUMS APPLICATION# 200801004 FEE: 60.00 EXPIRATION DATE:E: 08/01/08 AP CA P L N NAME: :x'.: SI C { RO k,:: �.:�.: L CATION FT ECHO F "" �y}:�v ADDRESS: P O BOX 581 : '''rnoi% DDICCS .y+..,�. .2.� SIMSBURY CT 060 :_; "T > VN OF SOUTH W 70>" ;; INDSOR 4 (1�. l7 C1 LL ry AN AV E PHON E 860-651-(k2� �,• o•, ::�'�>>�< II�DSOR,CT 06074 0, SUBDIVISION RKDES DESCRIPTION: SE�E.�`:;M:: � � THE D RAIN LAYER ASS IGNED TO THIS PERMIT ;° THE TERMS AND CONDITIONS SET FOR IN> ..E `S1. ST&E AND HEREBY AGREES TO ALL THE TOWN OF SOUTH WINDSOR STANDARb'S'- Y; p.. : Y' `<.': °'.`: ';y;` I:>ZWCy1 K"SHALL BE IN ACCORDANCE WITH F t1I ACHED CONDITIONS. ISSUED BY 7/2/2008 3:42 PM DATE INSPTED:. INSPECTED BY TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:3 CONTRACTOR:_ S1 mSC(ci LOCATION:-- ►r-t�� ("jam TYPE OF WORK:_ �l ►1 -t"1'� DATE INSP NEEDED: DATE INSP: / INSPECTED BY:- 13b — WORK IN PROGRESS: Sa.�.z �'tcL, C©rYID�e In G% z�_ AS-BUILT: INPUT• " DATE: �) ✓ / o1 W/2007 Town of South Windsor INPSECTION REPORT 07 Per r","f OD03� APPLICATION FOR DRAIN LAYER PERMIT aPP/ a006 0/00L} TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEET$60.00 Location of proposed work: 1>:e �7� Raaol-Lot # Street No. Street Name Premises owned by: _pnllAa!SMann q a n � Name of Firm: 4 �c�, � —at, Phone: ^ S6 Address of Firm: TYPE OF WORK: Lay House Dra+in ; Repair House Drain ; Lay Main V ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with �Atv _46 Existing Water Supply: Public Water_ Well Proposed Start Date'!7_-Z�OG Estimated time for completion 0 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. mh.-4c j` the holder of Drain Layer's License No. o ! 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. 40 d — Signed: Print Name: Licensed Drain Layer _... _ _. ._ Date: 7 staAftd:Fomis\Permits\APPLIUTION FOR DRAIN LAYERS PERMIT.doc