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Home My WebLink AboutDrain Layers Permit 462 Abbe Road 1000065 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER' ' DRAIN LAYER PERMIT DATE: 12/09/10` GIS ID 00600462 4 s FEE: 60.00 MIJNIS APPLICATION# 201001656 EXPIRATION DATE: 01/08/11 APPLICANs s� LOCATION NAME: HINCKLEY CONSTR RE� ki�t,g ROAD ADDRESS- 178 HIGHLAND VIE �` BJ SEPH B&ERICA C SOMERS,CT 06071 HILL RD STER CT 06040 PHONE s ' WORK DESCRIPTION: NEW SE ION THE DRAIN LAYER ASSIGNED TO THIS TUA A SSiL 1 ' STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FOR T - �� I . THE TOWN OF SOUTH WINDSOR STAND Q ' =ATTACHED SHALLACHED COO D ACCORDANCE WITH ;� y AT TNDITIONS. i! 1 ISSUED BY - I DATE INSPECTED INSPECTED BY 12/9/2010 8:46 M ' -.. ..... ..... .... -- ....- .... .....--....._..... - . ...._...... -- - i.l 1('-1\ H(i'. = - Q - ® �- ' � j- — �i - WNW- % 3 WWI _ I I . wv_tikv- ' 40 yam s 311� s j TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR:_ ,OC l e LOCATION: ! (p A, ®a a TYPE OF WORK: 1�Q (flS P C.c� D Y C%_ t o kA DATE INSP NEEDED: DATE INSP: z/9//0 INSPECTED BY: O t WORK IN PROGRESS: ��h�re�� ((p lO "' p uG SD 2 1_5:_L orn ,S4,6 4, 1 e ,� _ � is 5 ou 11-, 3��f F/tJ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES NO AS-BUILT: INPUT: .. DATE:_ Ia-- S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION APPLICATION FOR DRAIN LAYER PERMIT j TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT , S TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$60.00 Location of proposed work: �A ID Lot # Street No. Street Name Premises owned by: R� Name of Firm: t-� ; �,c 1�C\-e -, ca,^�i Phone: &6 o2 y5'' Address of Firm: )">g \A:!, !o,-,.� TYPE OF WORK: Lay House Drain y ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water V Well 'z Proposed Start Date ,Do/oEsti mated time for completionQ 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. n aF-*,) 3ti- P . Only holders o -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. cDQ/0 d© ( UC) Signed: Print Name: Oasv e �Ulce � Drain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc ® ® � 1 � � / � i 1 � � / C 1 � 11 ' �� f`i � �E � 7 CI 1 �• •� � � 1� 4..' ! �� _. � I � � � � �� N� _ i � �� ' �i� � .a /,��'� ,R � III �l�1� ��?. . ■ � �. ....�.!� � . . �,� ;� � �, f .�. ► �_ + i � i '� � �'