HomeMy WebLinkAboutDrain Layers Permit 2 Drake Court w r _,r:
TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
o 5886
DRAIN LAYER'S PERMIT
V� a prate, Cc" tec Z , 19�Z_
Pursuant to written application, permission is .hereby granted to the
Lic n ed Drain Laye named herein to perform .the wotk indicated below at
t gr mises owned by _-'3jXW3
whose address s ; �� Cl(/ a to
Lay House Drain, ep_ ir' se in, y TfYini.7 Other
for occupancy or use, with Z/ ,
Family Wi f if; th acres.
Type of , Sewage to be . eonnected under this permit : SANITARY--SEWAGE
INDUSTRIAL WASTES ( ), OR (' .)
Connection will be made with e
-Show sketch of proposed work or furnish two ( ) copies of separate drawings.
SPECIAL CONDITIONS C'
Desired Staxting. Date Estimated Time for Completion
Permit to be issued to rl41 S
the holder of Drain Layer 's License No. ' Permit will expire thirty
-
(30) days after date of is,suance,. The un ersigned 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 �.
Lice a ain Layer
The above named Drain Layer has a vali 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:"
Engineering Dept. Date
Permit Fee Paid $ a � pc� Check Number a -1��..`
Connection Charge Receipt No. L 6 Dated 1,;,-q-962
Issued by
INSPECTION
Date work started 2. � Date completed
Sufficient notifica on rec vec : yes No
Special Conditions
Inspector Date