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HomeMy WebLinkAboutDrain Layers Permits 183 Pepin Place (2) 1700016 TOWN OF SOUTH WINDSOF,, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 05/09/2017 GIS ID:70700183 �. FEE: 0.00 MUNIS APPLICATION# 201700500 ry'+y EXPIRATION DATE: 06/08/2017 :�' APPLICANm `r LOCATION, NAME: ATLANTIC EXCAVATION INC ADDRESS 183`PEPIN PLACE ADDRESS: 363 PARUM ROAD `< O` HR T&M BUILDING CO INC COLCHESTER,CT 64i x ,Iy,I BROOK STREET `4 TO T 06790 TORR�G N,C PHONE 1' y y� ` ♦ 5 w s✓ nxF k WORK DESCRIPTION: SEWER C©NNE�T�QN FO1�BI IILDING �9 SC�J 1 �VID 'OR WOODS 171175 109''Y8I''cj 7 1r< a ' THE DRAIN LAYER ASSIGNED TO THIS"PEjw, f�H S A fifb U-11,ENSE,�SSUED`B C� I� STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FOTFIN THExALAHI;D `C01<FDITIQI ' LIORK SHALL BE IN ACCORDANCE WITH Rf THE TOWN OF SOUTH WINDSOR STANDARDS,ALI,OSHA=RI;QC7YItI;IviET S,#11aT THE ATTACHED CONDITIONS. ISSUED BY DATE INSPECTED INSPECTED BY 5/9/2017 10:06 AM 47 _ 5 ran ♦ eM1 vG C .0 t 5 5 5�ti 15 ` kF'dji' TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: CONTRACT©R: LOCATIrN, 4 ' '1 ' TYPE OF DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: Aj c i f J4`` SEPTIC TANK.PUMP ED,&MASHED,FILLED WITNESSED ❑YES ❑NO AS-BUILT:-- •) INPUT: QATE S/molfoyltbrms 2014 Town of South Windsor INPSEClI WREPORT 14 "" TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 17 BUILDING ADDRESS 1-7t 1 176-il7q. 10 o V tkt — e i STREET : GDin T[scC, - - SUBDIVISION: s )Z) 1,J ,Lt- NORTH ARROW �a� lZ� (,�,� IZq I.o'r 0't32 LA-*117 _ -ex 1,71 3- CONTRACTOR (PRINT) NAME OF CONTRACTOR'S S IPERV (PRINT) �o Tc \ 1� STREET ADDRESS E (",6v[y;eo4zx- c TOWN �p STATE ZIP INSPECTED BY TOWN - ��7 , OW-6 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER