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HomeMy WebLinkAboutdrain layer permit 220 Lawrence Road i 900048 PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CT DATE: 07/29/09yfit S DRAIN LAYER PERMIT GIS ID: 52800220 MUNIS APPLICATION# 200900884 y FEE: 60.00 APPLICANT �� � N DATE: 08/28/09 NAME: JDC ENTERPRISES � CATION ADDRESS: 420 JOHN FITCH BL y 5 LsFENCE ROAD SOUTH WINDSOR, --b"IMPTSIMIR B &LORI H RADFORD E PHONE y "ONCE ROAD 860-667- ( f� �HINDSOR,CT 06074 SCRIP NEW SEW ' WORK DESCRIPTION: COvt _ g THE DRAIN LAYER ASSIGNED TO THIS PEIVI� AS ALL THE TERMS AND CONDITIONS SET FORTH Ili STATE AND HE THE TOWN OF SOUTH WINDSOR STANDARDS D' HD S3 L ORK SHALL O ALL RF .P � BE IN ACCORDANCE WITH swiy,' E ATTACHED CONDITIONS. ISSUED BY 09 7/29/200910:28 AM DATE ECTED INSPECTED BY TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT-NO.:9©00 q M-tACTOR.. J LOCATION: a a 0 La v v) g-,, TYPE OF WORK: � CO --DATE INSP NEEDED: DATE INSP: 3. - TNSPECTED BY: 8 WORK jN -PROGRESS: ® ea'- �t S 't,. l, i► Tee d pa AS-BUILT: INPUT: ��-- DATE: __jLj,0 SCANNED W/2007 Town of South Windsor TNMEMON REPORT 07 oo0q 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: f'2 N��` /e> Lot # Street No. Street Name Premises owned. by:_<< �c� Name of Firm: T.b C Phone: ke 7- (V Address of Firm: TYPE OF WORK: Lay House Drain �Z; pair House Drain Lay Main : Lay Lateral for Commercial/Industrial Building of acres Connection will be made with g;5 9 S b 2 9 s 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 �Sc'�i7 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. d/or ConnDOT Permit No. CBYD Na��,� Signed: Print Name:_ —� Licensed Drain Layer Date: Standard Forms\Perms s\APPLICATION FOR DRAIN LAYERS PERMrr.doc w I r � •®,� icy Sri rrr r rrr �r � ■rrr.- �� ■ �, �i r rr r r r rl r ■ 1� ■ r r r ��.__._�.!�i►r _ _._.__� Irk r - � - r r r ■ �� �� � /��r r r rr r • �� y Ii r wr r r rr r rrr r rr r i i' 1 1 1" i" •' • 1 i 1 i 1 1 1 /'