HomeMy WebLinkAboutDrain Layers Permit 226 Abbe Road �Y
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 5006
19�j
rursuant to written application, permission is hereby graji ed to he Licensed Drain Layer
named herein to. perform the work indic ted below at .; �/ 0 ,C y .
at premises owned by �fn �. �! f
whose address is
Lay House Drain, and to
fortepair House Drain, Lay Main, Other ,
Family Units, with acres. r occupancy or use, with
Type of Sewage to be connected under this permit: SANITARY SEWAGE ( ), INDUSTRIAL
WASTES ( ), OR ( ) r Connection will be made with
Show sketch of proposed wo k of furrish two (2) copies of separate drawings.
I '
SPECIAL CONDITION _------�-'``
Desired Starting Date Estima Time or Completion
i
Permit to be issued to 6
the holder of Drain Layer's License No. Permit 'll expire t irty (30) days
after date of issuance. The undersigne Drain a _•r hereby agrees to a he erms and
conditions set forth in the permit and the reverse side thereof, pi, a t h received
Town Permit No. and/or CHD Permit No. l
Signed /• I
LIV cen r i Layer
The above named Drain Layer has a valid license issued by the StaWro/lIf
onnecticut and
has filed a satisfactory bond and insurance policy in e > ame of a South Windsor:
Engineering Department Date
Connection Charge Paid Permit Fee: Paid $
,
Check Number r,
Issued b c- - -I fax O five �_ y
INSPECTION 7
Date work started ( ?1/7 Date completed �j
Sufficient notification re eived: Yes No
Special Conditions
APPROVED•
Inspector pate