HomeMy WebLinkAboutDrain Layers Permit 1308 Sunfield Drive TOWN OF SOUTH Wt N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 4936
19�
Pursuant to written application, permission is hereb gr ted tote icensed Drain Layer
named herein to. .perform the w r xi icate below at 1
at premises 'owned" by � whose a°, dress is
and to
Lay House Draini" Repair House'Drain, ^;Lay Main, _ Other ,
for dccupancy or use, with
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE ( �), INDUSTRIAL
WASTES ( ), OR :( ) Connection will be made with
Show sketch of proposed work or furnish two (2) copie's of 'separate drawings.
SPECIAL CONDITIONS
4
Desired Starting Date '. Estimated :Time for::Completion
Permit- to 'be' issued to� ;
the holder of Drain LA er's'. icense No., Permit will expire thirty, "(30)`days
after date of issuance. The undersigned Drain'tayer 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
License& Drain."haver
The above named.Drain Layer has 'a. valid' litlihse issued' by the Stdte' of Connecticut and
has filed a satisfactory bond and insurance policy, n the naive of th'e To', of:'South Windsor:
Ehg ineering DepartThent of .Date
Connection Charge Paid Permit Pee: Paid.-$ �t
Check Number
w Issued by
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector Date