HomeMy WebLinkAboutDrain Layers Permit 54 Devonshire Drive TOWN Of SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 3743
19
Pursuant to written application, permission is ereby grantecl to the icens d Drain Layer
named herein to per£o �,h wa in icate below at .: VQA_� „gip rr_
at premise-s -owned.by whose- address is
and to
Lay House Drain,' Repair House Drain., `Lay Main, Other' ,
for occupancy or use, with
Family Units, with acres
w .
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) copies bf separate drawings.,
SPECIAL CONDITIONS
Desired Startibg Date Estimated- Time for Completion ,
Permit_ to Abe issued :to f
the holder of Vrain- Layer's -License No. Permit will expire-thirty (3 ) days
after date of issuance. The undersigned Dra� in Layer hereby agrees ao all _'the to a'.-and
conditions set forth in the permit and the reverse side thereof. Applicant 'ha's received
Town Permit No.. • and/or CHD ,Permit No. .
Signed
LicensedDrain Layer
The above named,_Drain Layer has- a valid license issued by the State of Connecticut and
has filed a satisfactory bond and insurance policy in the name of` tYie Town of`South'Windsor:
Engineering -Depart ent, I?ate
Connection Charge Paid Permit- Fee: Phid $
Check Number S
-'Issued- by. .
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector pate