HomeMy WebLinkAboutdrain layer permit 8 Frazer Fir Road 900068 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
RAIN-
DATE: 11/24/09
GIS ID:34430008 FEE:
MUNIS APPLICATION# 200901446 60.00
- EXPIRATION DATE: 12/24/09
APPLICAN : LOCATION
NAME: EAGLE EARTHWO S FIR ROAD
ADDRESS: 101 N MOUNTAIN R
g O BUILDERS INC
CANTON,CT 06019 §-
:. �LNNGTON RD
i0- ;'H INDSOR,CT 06074
PHONE 860-693-
WORK DESCRIPTION: INSTALL V T
THE DRAIN LAYER ASSIGNED TO THIS P A ��1 T STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH I �L N SF L ORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARD E ATTACHED CONDITIONS.
ISSUED BYZ DA E INSPECTED INS ECTED BY
11/24/2009 3:36 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: qo�� CONTRACTOR:
LOCATION:--
TYPE OF WORK: W
DATE INSP 'NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: �z, l
_ael'ac( CaAA.-)'J0 TApg
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
1
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
1,
Ql qL* Zvao✓o 14 -6
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pw 363346 APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE ar
SOUTH WINDSORCI"
FEE $60.00
a
Location of proposed work: 04hot #
Street No. Street Name
Premises owned by: /'-Cm? ` e , '9 kf� -
606S Name of Firm:—.150Ale EEPL-A ILV IZX !9�eeS Phone: 864 03-90--2-"7
Address of Firm: lam' l6/ �10�, t {• /gyp, t�y� , ��� [��y7
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 Datel LQ 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, /n?�G�of e( lu` the holder of Drain
Layer's License No. j7Wj/G' 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.
O
CBYD No. A ZJ
Signed: fWAPrint Name: l ( juvlco-�Z
Licensed Drain Layer
Date:
Standard Forms\Permits\APPUCATION FOR DRAIN LAYERS PERMMdm
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