HomeMy WebLinkAboutDrain Layers Permit 0153 Avery Street (2) 800053 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 09/30/08
GIS ID:06300153 s'
FEE: 60.00
MUMS APPLICATIO � ,F+,<< ,..,.
N# 200801520 , 4F EXPIRATION DATE: 10/30/08
APPLICANT y jk w LOCATION
NAME: METRA INDUSTRIES ADDRE : 53 AVLRY STREET
ADDRESS: 50 HULLER PLACE: - x " , TE 'I (OJNOVSKI STEFAN M
LITTLE FALLS,NJ 07
1 AVETY STREET
PHONE oo ; .. �` � % "; A T E TER,CT 06040
WORK DESCRIPTION: REPAIR SEECORK
IN MANE& '
THE DRAIN LAYER ASSIGNED TO THIS?,,PERM-1t,,--AS mv
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A, T i+�pr js`Sg ib$Y,T SATE AND HEREBY AGREES TO ALL
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THE TERMS AND CONDITIONS SET FORT `fi 3THHI ATT : :>.� f)I ' 'AI QI* SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS 4 t�SHA $N Alm THE kTTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
9/30/2008 9:28 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: M f CONTRACTOR: M fl-P-A Erll l�l
LOCATION:- UL3 Pr u St,(-rv�,y®
TYPE OF WORK: hl APL10, �j l
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DATE INSP NEEDED: DATE INSP: 9 /3/fS
INSPECTED BY: 8 b
WORK IN
PROGRESS:1 —fi 1-�r r-I, l- Lam. 44J
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INPUT: DATE: f
W/2007 Town of South Windsor INPSECTION REPORT 07
8 0 00,_� 3
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
p�� c?4 gods� 1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$60.00
4 �Location of proposed work: 1'6k""��) ��
Street No. Street Name
Premises awned by: TO IJAI c')G P08 L 1e A)CatS
Name of Firm: 4
Phone: ---
Address of firm: HO c L Er,- �� L� t��f}e�,� J J
TYPE OF WORK:
Lay House.Drain.; Repair House Drain 0
Lay Main; Lay Lateral for Commercial/Industrial
Building of acres
� 4ip -6 b rt) sue/
nnectlon will be made with ,r feWCAAs
W w-e' r"CA -I\ r
Existing Water Supply: Public Waterer Well AA-
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Proposed Start pate j) Estimated time for completion --->
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 05 EP 14 LL) :VOS LA k,I the holder of Drain
Layer's License No. PLih®- 9 o—P . Only holden of P-11-P-7 or W-9 licenses
will be issued a permit. PERMIT"MILL EXPIRE THIRTY (30) DAYS AFTER
DATE-OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms
and conditions set forth in the permi anq attached thereto. Applicant has received
Town Street Excavation Permit Na. and/or.ConnDOT Permit No.
CBYD No.
Signed• C Print Name:
Licensed Drain Layer
Date•_
Standard.F4rm51PeCmitswPlTfRTION'FOR DRAIN.LAYERS PERMI I".doc .,.
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