HomeMy WebLinkAboutDrain Layers Permit 14 Balsam Fir Road 013 TOWN OF SOUTH WINDSOR, CT
900 DRAIN LAYER PERMIT
PERMIT NUMBER
DATE: 04/09/09 ,. .., <' `: µ 3 FEE: 60.00
GIS ID: 07150014 ..,.-`�.. � Yf' /:k ,:m=gg� .Aa`\ EXPIRATION DATE: 05/09/09
MUNIS APPLICATION# 200900317 fi . , z t M
LOCATION
APPLICA
4�64L
FIRROAD
NAME: EAGLE EARTHWO O BUILDERS INC
101 N �ADDRESS: MOUNTAIN ' y9GTON RD
CANTON,CT 0601,91, ND
SOR,CT 06074
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PHONE 860-69 '202 �A 4
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WORK DESCRIPTION: NEWS :< . 10
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x ySDBTIF?`STATE AND HEREBY AGREES TO ALL
THE DRAIN LAYER ASSIGNED TO THISa .E T A I IAyq� AL RK SHALL BE IN ACCORDANCE WITH
THE TERMS AND CONDITIONS SET FOR� F F A � S ANI? TTE ATTACHED CONDITIONS.
THE TOWN OF SOUTH WINDSOR STANDAI�: L��g,'� ::: R�;
ISSUED Y DATE INSPECTED
INSPECTED BY
4/9/2009 3:44 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 906013
. CONTRACTOR: l'a.c9(7i-rn?zN'a-
LOCATION: -1 n-, ' - CZ
TYPE OF WORK: .V e,,3
-DATE INSP NEEDED: DATE INSP:
INSPECTED BY: b u
WORK IN
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W/2007 Town of South Windsor INPSECIION 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
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Location of proposed work: B At i'•`T Lot #
Street No. Street Name
Premises owned by: Lanz .` em ffode�5-
Name of Firm: Aq--k &Jc<4 17gyp^ Phone: ?,�2,0,7-
Address of Firm: RD.
- TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
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Connection will be made with
Existing Water Supply: Public Water_ Well
Proposed Start Date 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 :G�t�e°� LlJ• �Ga — 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.
Signed: rint Name:_
Licensed Drain Layer
Date: `
Stamard FormsWermits\APPUCATION FOR DRAIN LAYERS PERMIT.doc
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