HomeMy WebLinkAboutDrain Layers Permit 90 Carson Way TOWN OF SOUTH WI N DSOR
(-S✓ DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMITS 6089
19V
Pursuant to written application, permission is hereby granted to the
Li en a Dra n. Layer d h rein to perform the work indicated below at
i J:.�.... t pre ises ow ed by J
`..
w ose address is 65tS7d to
Lay House Dr in, Repair use Drain, Lay Main, Oth r
for I�" occupancy or use, with E
Family Unit ; with - f acres.
` pe of Sewage to be connected under this permit SANITARY SEWAGE ( ,
INDUSTRIAL WASTES ( ) , OR ( )
Connection will be made with jpf, �
Show sketch of proposed work or furnis two O copies of separate drawings.
-t-
FfA REQUIREME TS MUST BE OLLQWED
SPECIAL CONDITIONSt
Desired Starting Date E timated Time for Completion
Permit to be issued to4���
the holder of Drain Layer's License �Permit will expire thirty
(30) :days after date of issuance. The undersigned Drain Layer hereby agrees
to all the germs and conditions set .forth " in the permit and the reverse side
thereof. Applicant has received Town Permit No and/or
CHD Permit No. �/ 1
Signed
t ,✓ �1 �" ��7...�
L cens Draid aver
The above named Drain Layer has a vali licens5- issued ' y the State of
Connecticut and has filed a satisfactory bond and insurance- policy in the
name of the Town of South Windsor:
gii ing Dept. Date
Permit Fee Paid $ Z Checiv'Number
Connection Charge Receipt No. 144 Z jDated
Issued by
INSPECTION /J�9
Date work started Date completed
Sufficient notification received: ''-'es No
Special Conditions
APPROVED•
Inspec or /o ate