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Home My WebLink Aboutdrain layer permit 640 Rye Street (2) 1100011 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 04/06/11 s GIS ID: 78600640J ,F �'/ FEE: 60.00 MUNIS APPLICATION# 201100241 ;4 ;or EXPIRATION DATE: 05/06/11 APPLICANiN.VV LOCATION NAME: ENVIRONMENTAL SI RU�CI S REW e rk STREET ADDRESS: 90 BROOKFEILD STI R NI SIB ADWARD SOUTH WINDSOR, T"--b7- � Q RYE T � JlaV INDSOR,CT 06074 PHONE 860-528506 s = 6 WORK DESCRIPTION: NEW SE" © I '' THE DRAIN LAYER ASSIGNED TO THIS I R T HAM A -SUF -Y -TATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTNTeh�E.AT AC is D ,AM'V��RK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDAR �'AI QQiENE ATI ATTACHED CONDITIONS. ISSUED BY DATE INSPECTED INSPECTED BY 4/6/2011 11:45 AM ....... ..............- -- ............. -- ... ----- .............................. _- - ...... ......... ---- ............... ...... ------- --------- xr- Af Jafff own Ar OF f MEW ff ago -W, 9 0 All pw 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: 4 y O 67 S4 Lot # Street No. Street Name Premises owned by: r-n k , Name of Firm: (FN yiun)m god,,t !�n,ul c:& t yc Phone:16Q 6d-F_95oo Address of Firm: Se TYPE OF WORK: ✓Z is La House Drain • Repair House Drain ; Y p Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply. Public Water Well v Proposed Start Date Estimated time for completion 3 ,OA11 S ALL WORK TO BE IN ACCO DANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to YY)1c,1- ou-t &,j COcjs 4 the holder of Drain Layer's License No. �T 6 . Only h6lld'errs of P-1, 10 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. -2c) d 0.S 0b ,�a 93 Signed: Print Name:_ Licen ain Layer Date: Standard Forms\Pe its\APP CATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: i i o o o iL CONTRACTOR; V I �0�?✓I►Eh etc SPA 1 L� S LOCATION: o A U u P S_Vffe+ TYPE OF WORK: Seise r C o yl rec-flD r1 DATE INSP NEEDED: DATE INSP: INSPECTED BY: iso WORK IN PROGRESS: Ca n4etthy -I n SlA W to,/ P VC 51j 2 �S Frame AY ��.e w�U► �tOrCo S�r,�.i� �.�a,�n \JYE Eo< SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSEMON REPORT 07 r e• .e r � �� '� � , �■ / � #ems■i��• 9y e e � e• e 1 ! e. .