HomeMy WebLinkAboutDrain Layers Permit 117 Hillside Drive r�
TOWN OF SOUTH WINDSOR
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S$P `� $ DEPARTMENT OF: PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT ''N0 5818
19 92
Pursuant to written application, permission is hereby granted to the
Licensed Dr in Layer named herein to perform the work ind Gated be w at
a-t premises owned by fY�GL�t/I/�l✓ 1 lC"
whose address is �5� and to
f Lay House Drain, X 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 /C pycG
Show sketch of proposed work or furnish two (2)" copies, of, separate d-rawings.
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, I Misr ' rY1vSy' f3� vu�wt
SPECIAL CONDITIONS " - _
Desired Starting Date Z,- Estimated Time for Completion
Permit to be issued to �/�'GA l, C G E
the holder of Drain Layer' s License No 1,0 84 30/ .: 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 perm' and the reverse side
thereof . Applicant has received Town Permit ' No and./or
CHD Permit N'o.
Signed
Licensed 'Drain Laye
The above named Drain Layer has a valid license issued .by the State of
Connecticut and has filed- a satisfactory bond ano in policy in the
name of the Town of South Windsor:
E ginee Ing t . Date.
Permit Fee Paid $ ZJ-,Oa Chec umber/
Connection- Charge Receipt No. �-ZUZ— Dated 8Vj z-,
Issued. byU 9Z
INSPECTION
Date work started Date completed
Sufficient notific9tion rece ve : es No
Special Conditions
Inspector Date