HomeMy WebLinkAboutDrain Layers Permit 8 Diggins Court TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC, WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT N2 59,91
19
Pursuant to written application, permission is hereby granted to the
' Lice u ed Drain Laver n med herein to perform the work indicated belo a
l.�Z U at remise o ned by '�
0�1g s : G
whose address is to
Lay House Drain. ' Repair ouse Drain, Lay Main, Othe
for. occupancy or use, with S ��
Family Unit -, with acres.
Type of Sewage to be connected under this permit: SANITARY S�EWAGE ( -,
INDUSTRIAL WASTES
Connection will be made with 5 . R 3
Show sketch of proposed work or furni h 'two 2( ) .copies .of separate drawings,
OSHA REQUIREMENTS MUST BE FOLIO"j)
SPECIAL CONDITIONS
Desired Starting Date -) -- Estimated Time for Conti eton
Permit to be issued to �7q-Aa jachl
the holder of Drain Layer's License No. Z0fe-3 ? Permit Ml expire thirty
(30): days after date of issuance. The undersigned Drain Layer h*reb,y agrees
to all the terms and conditions set . forth. 'in the permit and th'e reverse side
thereof.' Applicant has received Town Permit No. and/or.
CHD Permit No.
SignedJ2
- 2
is s.ed a iif Zjwyjr-
The above named Drain Layer has a valid license issued- the State of
Connecticut and has filed a' satisfactory bond and insurance #611cy in the
name of the Town of South Windsor
14
Engineering Dept. Date-
Permit Fee Paid $ 'Z,.S� � Check Number G� y
Connection Charge Receipt No. q Z.- Dated
Issued by
INSPECTION
Date Sufficient
started �2 2 2 '� Date completed Zz
Sufficient ditifica �on'rece ve : ��Yes No
Special Conditions.
APPRO -Z Z
Inspector Date