HomeMy WebLinkAboutdrain layer permit 269 Lawrence Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
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W/2007 Town of South Windsor INPSECTION REPORT 07
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 9000 A& CONTRACTOR:__.T D
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TYPE OF WORK:_ Gea1 h
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W/2007 Town of South Windsor INMEMON REPORT 07
900021 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 05/11/09 ";
GIS ID: 69 q Q`528002 ;<•
% �,�<::" .�., •:�'`5.��<��� �`�x FEE: 60.00
MUNIS APPLICATION# 200900472 '` EXPIRATION DATE: 06/10/09
APPLTCAN LOCATION
NAME: JDC ENTERPRISES I$C.
; DRE 29 l'AV� NCE ROAD
ADDRESS: 420 JOHN FITCH BLI E r
SOUTHWINDSOR 0�4'�`•� � `° "��": `�`�• - �I��JEANNE
�� , ,,. ter : ,.:«<, � i AWLENCE ROAD
I? VNDSOR,CT 06074
PHONE 860-6671400 f v 4
WORK DESCRIPTION: NEW SEVELA L 5.
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THE DRAIN LAYER ASSIGNED TO THI ;�ERMI'f?,IS A C fJEI;3 'TATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR' Hl T •bfil$.g l I,I O..IZK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STAND S fQ HAS ;AI iM f�TTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
5/11/2009 3:03 PM
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
a p p Z a�Ja qDd �f 7 TOWN HALL
I 1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00 CA /Vhr
Location of proposed work: bq G.�AY�9AC C- Lot #
Street No. Street Name
Premises owned by:
Name of Firm: ':7- J C ���i%�lSc3 "`'e Phone:
Address of Firm: % G �/b Q. liti•�r.1,sviL
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:- -Pubtic-Water We
Proposed Start Date Estimated time for completion e 7-
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 V_Os°c'Pil- J . CAler-'� the holder of Drain
Layer's License No.C�,-y�bed , 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. O ��
Signe Print Name:_ � ����
Licensed Drain La '
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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