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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2646 Contractor WOOD CONSTRUCTION
Location 0479 CLARK STREET Address 223 WOOD ROAD
Type Work WATER SOMERS CT 06071
Phone No. (860)763-4185
Date Insp Needed Date Insp._4 ��^��
Time Insp Needed Time Insp. 4s Oerer�,
Inspected By �6rJA
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PROJECT: DEVELOPER:
STREET: CONTRACTOR:
DATE: TME:
WEATHER: INSP:
WORK IN PROGRESS:
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AREA OF CONCERN:
SPECIAL INSTRUCTIONS:
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PROJECT: DEVELOPER:
STREET: CONTRACTOR:
DATE: TIME: A,5
WEATHER: INSP:
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AREA OF CONCERN:
SPECIAL INSTRUCTIONS:
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PR )
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TOWN�/ / STATE ZIP INSPECTED B TOWN- �U' .� DATE
TELEPHONE NUMBER
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 41 7 9 Cl-ARK .S'T
OWNER -T C ►7 o L '?-'
TYPE OF WORK 4': I-
DATE Rg: 74PERMIT �V� PIPE A Vf G
INSTAL R A
INSPECTOR .r, DRAWN BY dP S, _
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