HomeMy WebLinkAboutDrain Layers Permit 350 Burnham Street DRAIN LAYER'S PERMIT APPLICATION NO.
THE METROPOLITAN DISTRICT
BUREAU OF PUBLIC WORKS
555 Main St.,P.O.Bog 800,Hartford,CT 06101 �, r s 19
w
ACCT NO.
The undersigned agrees to perform under ordinances the work indicated
below at 4 V P, Lot N
on the side, in the town of :a '� n
--��*�-- � -t� �^ Y --��-���� Conn. --
between
- at premises owned by i --,—E N � � � �c g �.•
whose address is -
NATURE OF WORK: douse Conn; ❑Lot Drain, Catch Basin; ❑Main Sewer;
Crew; ❑Repair; ❑Bulkhead; ❑Utility Drain; ❑
OCCUPANCY OR USE: Eoesidential with 1`2_•.J_ Family Units;
❑Commercial; ❑Industrial; ❑
Public Sewer or Drain is: WANITARY; ❑STORM; ❑COMBINED.
ONLY the following SEWAGE or DRAINAGE is allowed to this connection:
[SANITARY SEWAGE; ❑INDUSTRIAL WASTES, as approved , 19
TOR M DRAINAGE including surface and sub-soil water;
Connection.will be-made with- _
Located 1 s itt — T -
SPECIAL CONDITIONSfi
-77
o -
Town-City=P'ermit No. and CHD Permit No. for street excavation
Sewer Tributary to t Lt W.P.C. Plant Insurance expires 4 - J'::
Data from j' _ Plan Permit will expire onr ,.i 0 6,19_ is
Dr. Sh. Required plans, submitted, approved by
Contract N s '=
Main Sewer Approved for H.C.'s.
Area :_. =f.. .- 3 i I Permit Issued b
Permit to be issued to _ z the holder of
Met. Dist. License No. Signed: b
State License No. —z o- t
FIRST INSPECTION: FINAL INSPECTION:
Called M. , 19_ Called M. , 19_
P. M. , 19_ To Insp. M. , 19_
FINAL INSPECTION APPROVED on , 19
by