HomeMy WebLinkAboutDrain Layers Permit 011 Austin Circle TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
�> BUREAU OF $OLLUTION CONTROL
lk� DRAIN LAYER'S PERMIT O 581.0
I TIT,y 22,_1942 19 92
Pursuant to written application, permission is hereby granted to the
Licensed Drain Layer named herein to perform the work indicated below at
j REDFIELD LOT #60 at premises owned by JMS rtaNSTRtr:cTTON
whose address is 658 ELLINGTON:.ROAD SOUTH WINDSOR and to
Lay House Drain, Repair House Drain, Lay- Main, Other ,
for SINGLE occupancy or use, with
Family Units , with . 1/4 acres.
Type of Sewage to be- connected tinder this permit : SANITARY SEWAGE (X ) ,
INDUSTRIAL WASTES ( ) , OR - SDR 35. SFWER PIPE
Connection will be made with x
Show sketch of proposed work or furnish two (2) copies of separate drawings.
SPECIAL CONDITIONS OSHA REGULATIONS AND VL N�S,�ECS f� f
J:;C + .r
Desired Starting, Dane Estimate fne forf omple ion
Permit to be issu: d fo _ U E—_
the holder of Drain Layer's License No. ; Permit ,wi expire thirty,
(30) days after date of issuance. The undet"s •`Drain. Laye,r�lhere�i , r es
to all the terms .and conditions set forth in perm i ands-the :r verse fide
thereof. Applicant has received Town Permit o. `an.d' or
CHD Permit No.
Signed •�.
icens Dr n Laye,r
The above named Drain Layer has a valid license ss,,u" d .by the State of
Connecticut and has filed a satisfactory bond and insurance . polcy in the
name of the Town of South Windsor:
En i ee g Dept. Date
Permit Fee Paid $ 7 1 Check Nu ber
Connection Charge Receipt .N:o. Dated 2
Issued by 9
LNSPECTION
Date work started 7'.� 2► Date completed 92—
Sufficient notific receive3 — -Tes No
Special Conditions
7 g2
Inspector Date