HomeMy WebLinkAboutDrain Layers Permit 2 Diggins Court (2) TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION.CONTROL
DRAIN LAYER'S PERMIT 5 9 G 5
Pursuant to written application, permission -is hereby granted to the
Licensed Drain Layer n m d herein to perform the work indicated belo at
C at premises owned by o S {
hose �ci e s 6 o . . - (-t'1 nd to
, ► o i r i ' T•A ' ' Other
for '' vcpcy ors use, with '
Family its with acres. Jc�
Type" ►
t�f SewagefAo be connected under this permit : SANITARY SEWAGE
INDUSTRIAL WASTES (' , OR ( )
Connection will be made with 3
Show sketch of proposed work o6))an'3ai i'�e�s of separate drawings.
SPECIAL CONDITIONS OSHA REQUIREMENTS MUST BE FOLLOWED
Desired Starting Date -13 Estimated Time for Completion c
Permit to be issuer`M�
. the holder of Drain Layer's License No. 's ;2k�) Permit will expire thirty
(30) -days after date of issuance. The -une�pfod 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.
Signed , ✓ � ��.
i.else
, m
The above named Drain Layer has a valid icense,"" sue by the State of
Connecticut and has filed a satisfactory bond and insurance policy in the
name of the Town of South Windsor
Engineering Dept. Date
Permit Fee Paid $ a.5, Od Check Number (34VA-A
e
Connection Charge Receipt No. Lea,\ Dated
Issued by
INSPECTION_
Date work started �-f- Date completed 95
Sufficient notification ecei`v"e : , yes No ----
Special Conditions
APPR -/ 3
Inspector Date