HomeMy WebLinkAboutDrain Layers Permit 34 Bissell Court TOWN OF SOUTH
WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT nn N 2 5672
19
Pursuant to written a �
lication 'PP , permission is hereby ranted to the Licensed Drain L yer
named herein to perform the work indicated below at
at premises o ed by yvQ .�,.
who a address is
C and to
Lay House Drain, Repair House Drain, Lay Main,
for Other
Family Units, with acres. occupancy or use, with
Type of Sewage to be connected under this permit: SANITARY SEWAGE (u), INDUSTRIAL
WASTES ( ), OR -( ) onnection will be made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
SPECIAL CONDITIONS
Desired Starting Date Q Estimated Time for Completion LtJ
Permit to be issued to &U AAF
the holder of Drain Layer's License No. Permit will expire thirty (30) a s
after date of issuance. The undersigned Draln Layer hereby agrees to all the terms and
conditions set forth in the permit and the reverse side thereof. Applicant has received
Town Permit No. and/or CHD Permit No.
Signed
Licen rain Layer
The above named Drain Layer has a valid license issued by the State of Connecticut and
has filed a satisfactory bond and insurance policy in the name of the Town of South Windsor:
4-
11 E eering Department Date
Connection Charge Paid ���* ,yo?,�> Permit Fee: Paid $ a j.p U
Check Number 10090
lv-30-qO Tax Office � q
Issued by /4/.?>C) f
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector Date