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HomeMy WebLinkAboutNew Sanitary Lat Street Cut Permits 10 C 800010 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE- 03/31/08 GIS 1D:23500010 . ' � `0« FEE: 60.00 MUNIS APPLICATION# 200800329 EXPIRATION DATE: 04/30/08 6vL APPLICANT i.. CA O CAT I ON NAME: J&H SLATER CONST_�O` FPS RIDGE ADDRESS: 75 COMMERCE WAY:; -"'" -KEL]tCO IN SOUTH WINDS T0 /z<>: itSiJ'I'H WI DSOR PHONE 528 ,.. f::.....:: WORK DESCRIP TION: xY`N: NEW SE* "''". THE DRAIN LAYER ASSIGNED TO THIS ,r,...,.. H�STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTS IN.THE<kITA,C � I ��I�IS°,:1�S�i V�(�1 rSHALL BE IN ACCORDANCE THE TOWN OF SOUTH WINDSOR STAND G'AL; OSFIA° .:°., ..: b TH'�=:A., ACHED CONDITIONS. WITH AIt3aS' �� ISSUED BY DATE INSPECTED INSPECTED BY 3/31/2008 9:33 AM Op `r> 0. n `%tea �������' r.°ki. ...: f F r:��._�•.�•.. :£o'v'F f•h�*Y�vN�:4 v.>:.ur,ry �,'•�'.: r TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ©c)(D 1 Q CONTRACTOR:_ Q LOCATION: a — TYPE OF WORK: DATE INSP NEEDED: DATE INSP: r d S INSPECTED BY: Bb WORK IN PROGRESS: I W 4 PVt_ S 2- -s sts F.riivc.-�- tA r 1c ire I&I—A AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR DRAIN LAYER PERMIT • TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, Cr FEE $60.00 Location of proposed work: d12 Street No. Street Name Lot #- Premises owned by: Name of Firm: V Address of Firm: Phone: -` TYPE OF WORK: Lay House Drain Lay Main k —% Repair House Drain Building --- —' Lay Lateral for Commercial/Industrial of acres Connection will be made with Existing Water Supply: Public Water LA-- Well Proposed Start Date / D 8 Estimated time for completion -Z ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SO ALL OSHA REQUIREMENTS AND CONDITIONS A UTH WIND PE R STANDARDS D TO THE PERMIT ' ATTACHED Permit is to be issued to J Layer's License No. 7 t the holder of Drain will be issued a permit. PERMIT Only holders of P-1 P-7 DATE OF ISSUANCE. The undersigned EXPIRE THIRTY � °C W-9 licenses and conditions set forth in the (30) DAYS AFTER permit and a ached thereto.hereby agrees all the terms has Town Street Excavation Permit No. and/or ConnDOT Permit received CBYD N . / • /YG 1 C �GNiG1 /�` f 1� >G7 Sign License Drain Layer Print Name:�� Date: Standard:Forms\Permits PRLI•CATION -- w FOR DRAIN LAYERS PERMIT.doc iail ' i , , � • � 1. '1 ■ ■ 1 fir■■ ■ ■ ■ � I ■ ■■ �UIITMWfiWfIIIl1Im I IN ■Ir . I M ■ ■ ■ ■■ ■� r■■■■ i 1 .11• I 1 1 r 1, 1