HomeMy WebLinkAboutDrain Layers Permit 323 Burnham Street DRAIN LAYER'S PERMIT APPLICATION NO.
THE METROPOLITAN DISTRICT
BUREAU OF PUBLIC WORKS
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555 Main St.,P.O.Box 500,Hartford,CT 06101 !905
18 1_
ACCT NO.
The undersigned agrees to perform under ordinances the work indicated
below at t= : Lot N
on the side,in the town of :;3 0 ai ►n! l'r
between # t - - 2 �-- e ►-g
at premises owned b i J.
r whose address is t :_
} NATURE OF WORK: lX House Conn; ❑Lot Drain, Catch Basin; ❑Main Sewer;
LNew; ❑Repair; ❑Bulkhead; ❑Utility Drain; ❑
{ OCCUPANCY OR USE: CRResidential with Family Units;
❑Commercial; ❑Industrial; ❑
Public Sewer or Drain is: SANITARY; ❑STORM; ❑COMBINED.
s, ONLY the following SEWAGE or DRAINAGE is allowed to this connection:
r .[ SANITARY SEWAGE; ❑INDUSTRIAL WASTES, as approved , 19_
` TORM DRAINAGE including surface and sub soil water; -
Connection will be made with = § rd£ Ig-- t-> 4
14 ,t
r Located J
J r
SPECIAL.ONDITIONS ��a+��--4� � �� �s��—�€ � � , -•°
{ ,
AW_.
Town-City Permit No. and CHD Permit No. for street excavation
Sewer Tributary to W.P.C. Plant Insurance expires , 19 .r
Data from '1' L—Q Plan Permit will expire on .' 19—
Dr. Sh. Required plans, submitted, approved by
Contract N •,C i 1 Main Sewer Approved for H.C.'s.
Area Permit Issued by i
Permit to be issued to - i, the holder of
Met. Dist. License No. Si ned: by
State License No.
FIRST INSPECTION: FINAL INSPECTION:
Called M. , 19_ Called M. , 19
nsp. M. , 19_ To Insp. M. , 19
o-I _
5
3
FINAL INSPECTION APPROVED on , 19
by =;