HomeMy WebLinkAboutDrain Layers Permit 550 Clark Street ....,:,Y Y y....r,ti ,.....:v•: , _ ..�: 9xt 'i r:--•`�''C t �J,
TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 10 3980
Pursuant to written application, permission is hereby granted to tv nice sed Drain Layer
named herein to. perform- he work: indicated be ow at S$Q
at premiset'i'owned by whose'address is
and to
Lay House D"rain, Repair House Drain, `Lay Main,' Other ,
for occupancy or use, with
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE ( ), INDUSTRIAL
WASTES O, OR O .-Connection will be.made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
I
SPECIAL CONDITIONS
Desired Starting`Date Estimated Time for Completion
Permit- to 'be issued to
the holder of Drain Layer's -License No. Permit will 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-.< and/or CHD .Permit No.
Signed
Licensed Drain Layer
The above namad,Ar�ain.Layer has a valid license issued.by the State of Connecticut and
has filed a satisfactory bond and insurance policy in the name of,' the` own of: South Windsor:
En neering Department Date
Connection ge Paid . m / 04' Permit'Fee: Paid $
Chec 2
Issued by
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector Date