HomeMy WebLinkAboutDrain Layers Permit 22 Carson Way •t<,fj ..` ti_ .: .. - ':: '.. a". .' . !'-".'" .,+...-i: ,. .,
TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
C
DRAIN LAYER'S PERMIT � �C `�
771
Pursuant to written application, permission is reby granted to the
Licensed Drain Layer n1gm d he e n to perform the work indicate-d beXow at
L di
Q Sat premise/� down d by
whose address is 6 g lip -CO, �//�S�l�^ and to
Lay House Drain, Repair , Ouse Drain, Lay Main, Other ,
for occupancy or use, with -J/
Family Units, with U acres.
Type of Sewage o be connected under this permit : SANITARY SEWAGE
INDUSTRIAL WASTES ( ') , OR (
Connection will be made with jS e cGp s'
Show sketch of proposed work or furnis two (2) copies of eparate drawings.,
SPECIAL CONDTTIONS
42
Desired Starting Date :j:x.-)j5 Estimated Time for Completion
Permit to be issue to i^
the holder of Drain Layer' s License No. Zo ._ Pe mit ` ill expire thirty
(30) days after .date _ of issuance,. The undersigned Drain Layer hereby agrees
to all the terms and conditions set forth in the permit and . the reverse side
thereof . Applicant has received Town Permit No . /,fig and/or
CHD Permit No.
Signed
L cen d Dr in Layer
The above named `Drain Layer has a vali licens iss ed by the. State of
Connecticut and has filed a satisfactory bond and insurance policy in the
name of the Town of South Windsor:
....E g neer Dept.. Date..
Permit Fee Paid $ Z Boa Check mber. /!)7�S Z
Connection Charge Receipt No. A Dated 5/7-"Zl/ Z-
Issued by 2
INSPECTION
Date work started Date completed
Sufficient notifica on received : es No
Special Conditions
Inspector Date
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