HomeMy WebLinkAboutdrain layer permit 47 Frazer Fir Road 1000038 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 07/30/10 �
GIS ID:34430047 y
FEE: 60.00
MUNIS APPLICATION# 201000967 EXPIRATION DATE: 08/29/10
APPLICANT LOCATION
NAME: EAGLE EARTHWO V
sz RE 4 F R FIR ROAD
ADDRESS: 101 N MOUNTAIN R,
O BUILDERS INC
CANTON,CT 06019 ,L - GTON RD
PC" - -0 � � %% INDSOR,CT 06074
PHONE 860-693- 0 i g
WORK DESCRIPTION: INSTALL 1 _
THE DRAIN LAYER ASSIGNED TO THIS TATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORT - C. 1�I� RK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STAND � - ATTACHED CONDITIONS.
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ISSUED BY DAT INSPECTED INSPECTED BY
7/30/2010 3:48 PM
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TOWN OF SOUTH WINDSOR INSPECTION:REPORT
PERMIT NO.: CONTRACTOR:c '40
LOCATIONa �2
TYPE OF WORK: CSQ
-DATE INSP NEEDED: DATE INSP: 4
INSPECTED BY:—
WORK IN
PROGRESS: i�
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED Q YES ❑ NO
AS—BUILT:
INPUT:i 7 -M
DATE:
W/2007 Town of South Windsor INPSEMON REPORT 07
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APPLICATION FOR DRAIN LAYER PERMIT 00vo-
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: ���� r Lot #
Street No. Street Name
Premises owned by: ;- k -,/-j
#65y,&saZ- Name of Firm:_ Phone:
Address of Firm: k' 011!
TYPE OF WORK:
Lay House Drain_; Repair House Drain
Lay Main : Lay Lateral for Commerdal/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date > -z Estimated time for completion.., (-I`��
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 &A tQ-(60V- the holder of Drain
Layer's License No. _a tlra 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: f &,a el
Licen&d Drain ayer
Date:
Standard Forn's\P= t WPUCAn0N FOR DRAIN LAYERS PERMIrdoc
elk we] e I I MA'
112.11millim AM
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