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HomeMy WebLinkAboutDrain Layers Permit 136 Commerce Way (2) 800060 PERMIT NUMBER w T OWN OF SOUTH W I N D S O R, CT DATE: 10/3 DRAIN LAYER PERM 0/08 ....,,.:.; IT GIS ID:22500136 "f 'w ` r MUNIS APPL ..:s..:.,, F4. ICATION# �200801683 ,..,. FEE: EXPIRATION 6 0 0 J,. D A A �. DA TE: P P L I 1 C �'_= 1 A 2 9 NAME: NT 8 ENVIRONMENTALPRVICE s� LOCATION ADDRESS: i ,° x 90 BROOKFEILD ST4, T x '�D .; 1 6 COMMERCE WAY SOUTH WINDSOR' � RTI V''p,MANEELEY REAL ESTATE LLC `PHONE YE R t $T 860-521 456o} x OUT INDSOR, CT 06074 WORK DESCRIPTION: ` 3 r f ksNit < INSTALL1jVI� 'SEV(� k RXIVG.I�IH TH E DRAIN LAYER " 4y ,• ASSIGNED TOT �.. `'>�;.<��'"° <__.... THE TERM HI ' E -I'P=R"`S S AND CONDITIONS A". `TIONS SET FOR1?: °-ISS: `:.Y'-I` IN E., C: - .:. STATE AND HEREBY AGREES TO ALL THE TOWN OF SOUTH WINDSOR STAND AID L pH I IE3 S AEA` rpRK SHALL BE IN ACCORDANCE WITH F ( TRENT,S,:ANTS T1IE ATTACHED CONDITIONS. ISSUED BY 10/30/2008 9:03 AM DATE INSPECTED INSPEC ED BY TOWN OF SOUTH WINDSOR INSPECTION REPORT . PERMIT NO.: �0oo(06 CONTRACTOR: enV i fo yrert 1 01 cCS LOCATION: 13 eo yr m e e w� TYPE OF WORK: 1 n : --DATE INSP NEEDED DATE INSP: INSPECTED BY: Bi WORK IN PROGRESS All 7 (o Fvc- S' rz �,s Frog M lq ? gam► t �;�a-e s �► J % ' c�&.S l OJ AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSEMON REPORT 07 •�1ve�� ��a 1683 P��T �voa�60 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT CC*J*JfZTJVN LUAILb . TOWN HALL 1540 SULLIVAN AVENUE 3 282• SOUTH WINDSOR CT FEE $60.00 �3446,vo Location of proposed work: 13 (m CrIAM y% A. l. )All Lot # "91 Street No. Street Name Premises owned by: V c- nA3fJG Lc Name of Firm: U,c c , „ Phone: cv Address of Firm: C/© TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral f ercia ndustrial Building of acres Connection will be made with r�C Existing Water Supply: Public Water Well Proposed Start Date Estimated time for completion ALL WORK TO BE IN ACC DANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to Co ,,Ds 4e- the holder of Drain Layers License No. e Only holders of P-1, Z5)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. �-7d U _. Signed: Print Name: J ice rain Layer Date: Standard Forrri Permits\APP CATION FOR DRAIN LAYERS PERMIT.doc . _. _ ._. i 1' '1 ■ ■ ■ ■ ■ .■ � ■pus �■ ri ■ l I r � ■ �r■rr�� � � ■■r r■r � rrrs■d r '� ■� �i�ir�t■"�iir■'�ii �i i�ii�'ii a i�ii i�i ice"• • 11- i. 1 : 1 1• 1 � 1 1• 1 1 i i•