HomeMy WebLinkAboutDrain Layers Permit 28 Balsam Fir Road 900014 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 04/09/09 rf'V y¢mwi `tu,
GIS ID:07150028
FEE
: 60.00
MUNIS APPLICATION# 200900318 £ :,`y' < >'` {' , ;"''`
A r, 'r EXPIRATION DATE: 05/09/09
APPLICANT z
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NAME: EAGLE EARTHWO
' B,ALSAM FIR ROAD
ADDRESS: 101 N MOUNTAIN p �;
. .''.. 3. �•, ' r 11 AMINO BUILDERS INC
CANTON CT 0601 NGTON RD
PHONE a r : WINDSOR
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9 -20 <<' ' . 1 .:;.;iJ ,CT 06074
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WORKNEWS4 ,.,.,. '..'`
DESCRIPTION: ECT ._a'
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THE DRAIN LAYER ASSIGNED TO THIS`PE -IT £ SS I &r THTa`STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTIS I t .� C I aVbRK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAI S �. "'-"
11 L � T ; Id3'E ATTACHED CONDITIONS.
ISSUED Y DATE 4!9/2009 3:56 PM SP CTED INSPECTED BY
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.0-��1 V CONTRACTOR: '
LOCATION:
TYPE OF WORK: f1P W
=-==_ -DATE INSP NEEDED:
DATE INSP:_ 0
INSPECTED BY: 8�
WORK IN
PROGRESS:__ �,-
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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, CT
FEE $60.00
Location of proposed work: .99,A-lu1 ( `rhJ Lot # • 2
Street No. Street Name
Premises owned by:
Name of Firm: kep ! 'e & -QSPhone:-Z�,9 -7:Z02- 7
Address of Firm:�0 / �i _ Aft!. /Zp rr OecpY
TYPE OF WORK:
Lay House Drain; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with C, a U�
Existing Water Supply: Public Water_ Well
Proposed Start Date 1--0-7 Estimated time for completion _- (I -/3,
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 �C.K W the holder of Drain
Layer's License No. 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. 9 `4 6
Signed: ' t Name: /�4 Id tl v�`C'yC
Au Drain Layer
Date:_
Standard.Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc -
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