HomeMy WebLinkAboutDrain Layers Permit 2238 Ellington Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT ' O 5 8 99
19 93
Pursuant to written application, permission is hereby granted to the
L�os
ed raja Layer aai4ed,. hOVO O perform the work indicated below at
.3 7 E c_e-iiu.6.70 N 7zb at premises owned by j. /h.. /-14 �w a ress s ) u- and to
Lay ,House Drain, x Repair house Drai*g Lay Main, Other ,
for S1Aj L E TA/Ztij y 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
Show sketch of proposed work or furnish two (2) ' copies 'of separate drawings.
ptloe Z238 (o " PV CG
wR`1
67V A)
SPECIAL CONDITIONS
Desired Starting Date. 3 93 Estimated Time for Completion o2 ¢ 93
Permit, to be issued to
the holder of Drain Layer's License No, a677,5� •. ' .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
the Applicant has received' town Permit No . nd/or
CHD Permit. .No.
Signed
Li erased Dra n Layer
The above named Drain Layer, has a valid license is.sued .by the State of
Connecticut and has filed- a 'satisfactory bond and insurance policy in the .
name of the Town of South Windsor:-
Engi ering Dept... Date
Permit Fee Paid 00 Check Number
Connection Charge ;Receipt No. � 9, Dated
Issued by - /_/
INSPECTION
Date work started. 3
( " Date completed �- 7 9'
Sufficient notificaETo—'n reecteive : yes No
Special Conditions
APPROVED. :
Inspector Date