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HomeMy WebLinkAboutdrain layer permit 118 Frazer Fir Road 1000064 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT -19-m-0 0--7-7 -lN , -may, DATE: 12/06/10 -= h GIS ID:34430118JjF MUNIS APPLICATION# 201001636AV - FEE: 60.00 ,y �� EXPIRATION DATE: 01/05/11 WIN APPLICANT -s � LOCATION NAME: MANNARINO BUILD RE�� 18RAER FIR ROAD ADDRESS: i4JON0ITHAPEL ROAD � � O BUILDERS INC A E -HA ZEL ROAD SOUTH WINDSOR,Cr @N' j PHONE 860-289 '0� Siax A WORK DESCRIPTION: NEW SEAE _ g= 10 � _ 4 THE DRAIN LAYER ASSIGNED TO THIS BA IS&SUFYITATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORR � � f - TIpL�W SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDAR� O I ATTACHED CONDITIONS. Ig { = y 13 Err .1 ISSUED BY DAT9 IN PECTED INSPECTED BY 12/6/2010 1:51 PM ...... -------—......_---------—.................__- - .......- -.....— .... ...._ ..............-.........._.... ......._....................... ft 9 �m , JF - Ww IR / n 3 _ TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I CONTRACTOR: /n n LOCATION TYPE OF WORK:_ DATE INSP NEEDED: DATE INSP: INSPECTED BY: l'r , WORK IN PROGRESS:' k `'k :L4 ', P ' /4�rr•�1 lit dL h SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: y INPUT: DATE: - -� S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION 9 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: J 1 g zee' Lot ## 3� ' Street No. Street Name Premises owned by:— 'Imraw . U1,101 is- Name of Firm: 044 lr tZ�� .c !� vrGQS Phone: r60 493-3©.9*7 Address of Firm: TYPE OF WORK: v Lay House Drain X ; Repair House Drain Lay Main : Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water W pp Y Well Proposed Start Date Z—7`0 Estimated 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 4(16d 42& ey the holder of Drain Layer's License No. a771IC 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. -10( j�-Oev 06 7 K Signed: Print Name:_ qet �i' eo Z Licensed Drain Layer Date: �Z l—I D Standard FormS\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc 1 1 ! Mel now 1' •/ i IllrII � N INON mi No ■o .. ��.► ■ 0 � so �1