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Drain Layers Permit 544 Buckland Road (4)
TOWN OF SOUTH WI N DSOR DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL S DRAIN LAYER'S PERMIT ri 3 F Pursuant to written application, permission is hereby granted to t e Licensed Drain Layer named herein to perform the,work indicated below at at premises owned by < < ", whose address is and to Lay House Drain, V Repair House Drain, Lay Main, Other , for occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE , INDUSTRIAL a WASTES ( ), OR,( ) Connection will be made with Show sketch of proposed work or furnish two (2) copies of separate drawings. ,� , _�- f f . . o- SPECIAL CONDITIONS Desired Starting Date Estimated Time for Completion L. Y 0- Permit to be issued to j 0 the holder of Drain Layer's License No. 2 y 7 7IV . Permit will expire thirty (30) days after date of issuance. The undersigned Drain Lay�d he eby agrees to all the terms and conditions set forth in the permit and the reverse, side hereof. Applicant has ,xeceived Town Permit No, and/or CHD Permit No. Signed Licensed ,Drain Layer The above named Drain Layer has a valid lice`se' issued by the State of Connecticut and has filed a satisfactory bond and insurance policy 'n th�\name of rtown of South Windsor: C-, /En ineerin artment Date Connection Charge Paid Permit Fee: Paid $ Check\ Num� r -; / - Issued by F Tax Office INSPECTION , - 45 Date work started ' Date completed J l`) Sufficient notification received: Yes No -� Special Conditions APPROVED: f- Inspector pate 10 a �G v �Q © �S7 L �9T CURB SIGNI B M # 2 S.W.COR. - SIGNI �{,l 230 236 7 246.53 ySN w SN 4 o w T_ # 55 Lt P y (� _nAL— Ad ._ © TT 15 O s' 12 41 �- ` 2 STORY �+ 2 STORY I I a Y 2 STORY L I �_ I x ' FRAME Q cn FRAM I E FRAME 550 ' I W i 4k 530 IZ Y-_ 9 25 I( t — I /V I p-1 H #5 44 I o I � S2 GAT. 61 QjI r. Z 5 oEtp W000 J I FRAME > �-J x I N F I cc ✓OHN A. ERRGi� - BBS • I STORY N/F ✓ANE NATTHEW � STEPHEN FRAME N/F ✓OHN AlFERRUOLO F/L/P 542 c1/1P1NEr 89'5 oF�fNI �. J .��