HomeMy WebLinkAboutDrain Layers Permit 19 Dower Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT ND 5463
1401
Pursuant to -written application, permission is hereby granted to the Licensed Drain Layer
named herein to perform the work indicated below at e rz
at `premises owned by 9'►�Ii•G 7-vAl le4A9-✓L/P.v p whose address is
i D tp e'2 Orq)) and to
Lay House Drain, 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 ( ), OR ( ) Connection will be made with
ram.
Show sketch of proposed work or two (2) copies of separate drawings.
19
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SPECIAL CONDITIONS
Desired Starting Date Z741 y 9 ►q`f b Estimated Time for Completion 'Z_. )I+Y-f
Permit to be issued to `�er4 C', JS?. co , -T-N c -
the holder of Drain Layer's License No. 2-0 g Z 9 3. 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. A icant hVrece'
Town Permit No. and/or CHD Permit No.
Signed �r
//L' ensed Drain r
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 the Town of South Windsor:
7 -v7'- `'J
Engineering Department Date
Connection Charge Paid ' 3%-A Permit Fee: Paid $ ylf
1 -CkO Check Number
Issued by
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED: _Y
Inspector ` Date
So,MM af,
0114es-c� V&U&Ot
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w� 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074
R•CON� AREA CODE 203/644-2511
July 12, 1990
TO WHOM IT MAY CONCERN:
The house at. ate "'lo -'South Windsor, Connecticut
was connected to the South Windsor Sanitary Sewer System
on July 9, 1990 in accordance with the Town Regulations.
The Drain .Laver' s Permit No. is 5463 and the connection
was made by Dzen Construction Co. , Inc.
A. Bowen Davies
Deputy Town Engineer
ABD/jsv