HomeMy WebLinkAboutdrain layer permit 601A Sullivan Avenue TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7742 ContrE �d'AMt —,TUROWE
Location ^>+,,.
VANS'
T EVyp. 'R SEPTIC
Type Work RPR SAN LAT
� R2S I0 DI24ZVE
6
C7N 66
r i r i
p:. Y <
Date Insp Needed -------------- '�'—
<
$ ;s .
aYea
Time Insp Needed —
----------
r' Im
Inspected By � > w,:; " W 5 g S.. f
Work in Progress
r.
_> dam_ �'
Permit No. 7742 Town of South Windsor, CT
Permit Date 05/05/2004 f r Drain Layer Permit
Expiration Date 06/04/2004
Descrip: AUNTI DAWN'S BAKE SHO 'A'
`MON'I�TIU�% SMId `
Applicant �
Name JAMES THROWE
Addr. VANS SEWER & SEPJIC
97 RIVERSIDE DRWI� .
VERNONOCT 0:6 6 � c `
Phone No. (860)289-00P5 y,; Y
The Drain Layer , ne� �
d lac$. pl �u�� by the
state and hereby agL;. t > th h in the
attached Conditions; . All }y , aa ,w h> `gwyri of South
Windsor standards, alb OSHA�xe u &tta pn`itions.
Issued By $ % 11
- }ate
Date Inspected
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:_ 6 U /q 6u.j 1,Uc4n Lot#
Street No. Street Name
Premises owned by:
Name of Firm: Ph
one: S
Address.of Firm:
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main ; Lay Lateraf for Commercial/Industrial
Building of acres
Connection will be made with s�r� lc��"lor� nf
. C y
Existing Water Supply: Public Water_ Well
Proposed Start Date m� U� Estimated time for completion Y)PYG L/
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
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: Print Name: �
Licensed Drain Layer
Standard Forms\Permits\APP[ICATION FOR DRAIN LAYERS PERMIT.doc
W I an Wil I 12.3
d L L
e• •e
WOMEN■ ■■■ ■■
■■■■■■■■■■ ■■■ 01�! ■■ ■ M!! ':
UNSEEN■ ■ ■■■■ tt'r ■ ■L: ili
■ ■■t■ ■ ■ 1►:S`iN ■ii ■■ ■ ■■ m
r ■r�■■gin - d ,� ■ �■ ■■ ■�■ ■ .■B.1 MR-
ONPW
■ ■■
ii��i■ ii■■ ■ " its■■ ■ ■■■■■■■
No■■■ ■■■■■ ■ mm■ ■■■■■■■
e e• .. —e a e. . e. ..
INV-
s 1
e e e
• e
e e e• e e e• .