HomeMy WebLinkAboutdrain layer permit 0000 Sullivan Avenue (2) PUBLIC VVOAKS bEPAkTDIEIVT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH UMWSOR, CT
FEE$25.00
Location of proposed ,(; Lot #
Street No. Street Name
Premises owned by:
Name of Firm: /j,,>Z/vU, Y7"ea Phone: Wep /—
Address of Firm:, '�S S' Z5�irc✓A Y 7;5///
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main�;�iay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date46&?Pstimated 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 �171"fWl� Lfll S the holder of Drain
layer's License No. 00,20 . Only holders of P1, P7 & ,W9 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.
Signed: Print Name
.Licensed Drain Layer
Date: Z6Z
Permtt No. 641$7 Town of South Windsor, CT
Permit Date 10/04/1996 Drain Layer Permit
Expiration Date 11/03/1996
Descrip:
Applicant Location
Name WILCOX CONSTRUCTION CO A °.Addr. 535 OLD STAFFORD ROAD erg SULLIVAN AVENUE
TOLLAND CT �
Phone No. (860)871-1839 , �i 4; .
The Drain Layer as i, pi 1 i ense issued by the
state and hereby agre nd t � set forth in the
attached 'Conditions ' s n a c� with Town of South
Windsor standards, al
�ched conditions.
Issued By :� � / .� ✓.., �-�
l
.%` av
Date Inspected /oIr /v 4-JF
§ _
5 fin.,
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6487 Contractor WILCOX CONSTRUCTION CO
Location Address 535 OLD STAFFORD ROAD
Type Work SAN MAIN TOLLAND CT 06084
Phone No. (860)871-1839
Date Insp Needed -�� �rp. io/9e
Time Insp Needed
TV,
Inspected By b '
Work in Progress . ¢..
,, F Date v1-\ y_,��kC--