Loading...
HomeMy WebLinkAboutDrain Layers Permits 459 John Fitch Blvd 1200037 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 07/31/12t z 3 GIS ID:47700459 %� �K FEE: 60.00 EXPIRATION DATE: 08/30/12 MUNIS APPLICATION# 201200995 o y ZOO lk 11 APPLICANT %_ LOCATION NAME: BUSINESS OWNER �' DRESS &S-S40FW FITCH BLVD ADDRESS: SOUTH WINDSOR,C 07 = 41 JOHl FITCH BOULEVARD LLC y G£ IELD DRIVE f VJTI V�INDSOR,CT 06074 ii Alf %� , PHONE aly1-21 y�y ,� �� WORK DESCRIPTION: INSTALLtaAn*" 5 PPROVAL ��m ; y THE DRAIN LAYER ASSIGNED TO THIS IR SAS A VUE➢ Y1ATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORAJW� ATE AYE WCK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS SBA N ' TIATTACHED CONDITIONS. ISSUED BY J DATE INSPECTED INSPECTED BY 7/31/2012 1:16 PM � 'ice s G � ------------ j s Qy y om�� y i y y TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ZaP003 -7 CONTRACTOR: LOCATION: S� �(�}171 TYPE OF WORK: a, ffinin, 1 nG Vha, 4 DATE INSP NEEDED: DATE INSP: INSPECTED BY: t3.> WORK IN PROGRESS: od)2p� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: - DATE: S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 0 V7 V 1 1540 SULLIVAN AVENUE boy` © I SOUTH WINDSOR, CT FEE $60.00 Location of proposed work:y g ,�— �� F',��-�,�,� !�c, foot # Street No. Street Name Premises owned by: PI�E� 67 Name of Firm: evE:-�i �5 -e—N2 S 7'6(" Phone: Address of Firm:�.S'j .. o�� T � e I'd B TYPE OF WORK: Lay House Drain Repair House Drain Lay Main ✓ . y Lateral-for Commercial/Industrial Building of acres Connection will be made with ',s Existing Water Supply: Public Water Well Proposed Start Date estimated time for completion h/2 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 R R 1 b the holder of Drain Layer's License No. Z 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 Nam Licensed Drain Layer Date:_ Standard Forms\Permits\APPLICA7I0N FOR DRAIN LAYERS PERMIT.doc i 1 �r■I ■ lr .�!�i��w�� _�I ■ � ■®®rl■I■ ® I■ r®�1� 1® ®Ir■r■■1 r■■ ■r■/�. �/� � � ■ �I�r�l ■fit ■■ r ■ ■■�►r■rre�� . . . ,r■■■r�■ ■r r■■■ ■r rr�����rrr■r .�, �� ■■ ■r■r Noall ; ■ I■ ■ ■ ■■■■■ k i MOO r ` 1 , 0 i PLUMBING&PIP INr TT D CONTRACTOR tt .ARIA HEZ�oG2sl22 !W-020482 M � EXPIRES ,.. /31/2