HomeMy WebLinkAboutdrain layer permit Frazer Fir Road 40 900061
PERMIT NUMBER TOWN OF SOUTH
WINDSpR CT
DATE: 10/15/09 .:>:.:..: .,:u,. DRAIN LAYER
GIS ID: 34430040 _ >'g 3 1&1° �, #" Y R PERMIT
MUNIS APPLICATI y'" J ON# 200901254
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60.0
0 0NAME APPLICAN N DATE: 11/14/0DRESS: EAGLE EAR
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PHONE r:a o.K:::.:', _ :: IIN BUILDERS INC
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60-693� bj,7 ON RD
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WO PTION: s CT 0607 WORK DESCRI '
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NEW SE�rE fr .
THE D
RAIN LAYER ASSIGNED TO THIS>PE f y } 3 THE TERMS AND CONDITIONS SET FOR E
THE TOWN OF SOUTH WINDSOR S A V C SUI D y TEE STATE
TANDX'P,D' 4 i II�TONS C ItI{SHALL IkND HEREBY
IN AGREES TO E WALL
ALI,W
AI iL�"ATTACHED CONDITIONS. WITH
f S Y S .
ISSUED BY
DATE INSPECTED
INSPECTED BY
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 611-4- 07
INSPECTED BY: 131)
WORK IN
PROGRESS: - �'orrt�c.c +� d-►s f� l " PUC S-Da 3� ��a•�
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT: l/
INPUT: _ DATE:_ o' a O . ® 9
W/2007 Town of South Windsor INPSECTION REPORT 07
Ptrm;��1 9aov6�
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
pp/ 0 TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work:__-P '/G r�z rer Fri Lot #
Street No. Street Name
Premises owned by: Agj1140`
Name of Firm: Q/e C-ef-44 It RA Y r-V.`C e f Phone: 93 o
v
Address of Firm:_01 Ah R -(_�!/I,�� f?P. in 01�7q
TYPE OF WORK:
Lay House Drain_; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water_ Well
Proposed Start Date,--I -d?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 the holder of Drain
Layer's License No. 2:79J� 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. ?�0?3 76 300
Signed: Ar ame:
Licensed rain Layer
Date:_/®-/y--Cj
standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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