HomeMy WebLinkAboutdrain layer permit 1123 Sullivan Avenue ' TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7631
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Permit No. 7631 Town of South Windsor, CT
Permit Date 05/16/2003
Drain Layer Permit
Expiration Date 06/15/2003 ?3
Descrip: CONNECT SEWER LAT. 05 STWBER�2yWFyELDS SEW2
Applicant
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Name JAMES THROWE AdS� 23 $LML•fl,P.AN:SaVUUE
Addr. VANS SEWER & SE]ITIC of r MESSNER 7AC U LIN
97 RIVERSIDE DRIVE `
VERNON .T 06066`
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Phone No. (860)289-0095.. ,
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state and hereby a h: . ,
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attached 'Conditions 'All Uba7f 'sit lxrda�xc� wY h Tc?an of South
Windsor standards, alb OSHA'>;.ca..uirem" '
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Issued By
Date Ins ected
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
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Location of proposed work: Lot #
Street No. Street Name
Premises owned by:
Name of Firm: V f � crtl,ze�l�((Phone. g? O� 7S
Address of Firm: ���e�-crsi�. c�r,, L�,✓V�or�
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with SOP
Existing Water Supply: Public Water Well-�
Proposed Start Dat 1 03 Estimated time for completion -2)I3?lq'D
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND COND ONS ATTACHED TO THE PERMIT
Permit is to be issued to ' o',yr�3 + the holder of Drain
Layer's License No. _4of �T . 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.ay0 ZOO 2. 77
Signed• Print Name:
Licensed Drain Layer
Date:— 3
Standard Forms\Permits\APPLICAj10N FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERALTIELD LOCATION
DATE OF CONSTRUCTION S-A�p Z-0
BUILDING ADDRESS /'/ ,23 SuI1 4 ve `` '".4'
STREET �, 11w��
SUBDIVISION:
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CONTRACTOR PRINT) NAME OF CONTRACT SUPERVISOR (PRINT)
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STREET ADDRESS _ 1 TURE J{
DATE
TOWN STATE ZIP INSPECTED BY TOWN
a S' DATE
TELEPHONE NUMBER
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