HomeMy WebLinkAboutDrain Layers Permit 620 Burnham Street DRAIN LAYER'S PERMIT APPLICATION NO.
THE METROPOLITAN DISTRICT
BUREAU OF PUBLIC WORKS Oau6l 0
555 Main St.,P.O.Box SM,Hartford,CT 06101 19 91 —
ACCT NO.
The undersigned agrees to perform under ordinances the work indicated
below at 6r, _ 0- l s� FL 01';r t= —Lot M
on the f -side, in the town of ;_: r. i '2,4
.`4
between
at premises owi d by oz
'
whose address is {I �`
NATURE OF WORK: EXHouse Conn; ❑Lot Drain,Catch Basin; ❑Main.Sewer;
Pvew; ❑Repair; ❑Bulkhead; ❑Utility Drain; ❑
OCCUPANCY OR USE: ❑Residential with Family Units;
❑Commercial; ❑Industrial; ER)&1W C--- ----x 44 I `LV4 .44 k'
Public Sewer or Drain is: SANITARY; ❑STORM; ❑COMBINED.�—
ONLY the following SEWAGE or DRAINAGE is allowed to this connection:
SANITARY SEWAGE; ❑INDUSTRIAL WASTES, as approved , 19—
TORM DRAINAGE including surface and sub-soil water; E
Connection will he made�i }
Located _
2
SPECIAL CONDITIONS`r "E
- - - - 4
4 _ 0 %
_ :, •:-
Town-City Permit No. and CHD Permit No. for street excavation
Sewer Tributary to W.P.C. Plant Insurance expires ». ,19.�
Data from �; Plan Permit will expire on e 19
Dr. Sh. Required plans,submitted, approved by
Contract A ? '" Z. 7 Main Sewer Approved for H.C.'s.
Area R w e ia& Permit Issued by ,49
Permit to be issued to the,holder of
F Met. Dist. License No. Signed by
State License No. Z 0 8 0407 -
FIRST INSPECTION: FINAL INSPECTION:
Called M. , 19_ Called M. , 19_
To Insp. M. , 19_ To Insp. M. , 19_
FINAL INSPECTION APPROVED on , 19
by