HomeMy WebLinkAboutDrain Layers Permit 236 Foster Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
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DRAIN LAYER'S PERMIT 4737
Pursuant to written application, permission is hereby grantad-+s a L' nsed Drain Layer
named herein to perform t e work indicated w at —
at premises owned by �} whose address is
and to
Lay House Drain, Repair Ouse Drain, Lay Main, Other
for
Family Units, with acres. occupancy or use, with
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.
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t
SPECIAL CONDITIONS
Desired Starting Date Estimated Time for Completion
Permit to be issued to C fc` �Y� 01 S,' e /6J- 1 c- T-�?CC AJ/}Tbt ��
the holder of Drain Layer's License No.kIL, . Permit will expire thirty (30) days
after date of issuance. The undersigned Drai°n_La�yer 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.
r�
Signed T:/
Licensed Drain Layer
The above named Drain Layer has a valid license issued by the State of Connecticut and
has filed a satisfactory bond and insurance policy ipr, the n e of the Town of South Windsor:
lC. c c _;.f ( /7 e
1
gineering Depar nt D to
GonneeL on C ia�g� _14 erm1 t-Fact--raid—
--? - - - -- - -
' �I Check Number
y
Issued. by .
Tax Office
INSPECTION
-- —Dates w -k_
-started, Date e p+eted,
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspect r Y ate