HomeMy WebLinkAboutDrain Layers Permit 236 Kent Lane c r�-,'x< .. -i�'Sh�»�k:: ��,.".:.\�s _ ,.�. ,:e.•.: r �"'."." .�, ...:ey.. .h, ;,u ... .. -fin .zz:N '.�"�!"�'
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TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL p
DRAIN LAYER'd PERMIT ` 1�10 5874
d,l J 9 19`l-
Pursuant to written application, permission is hereby granted to the
Licensed Dr - i L yer named herein to perform the work indi ted below at
_ 2,I at premises own b , j
whose address is , �,q� e and to
Lay House Drain, Repair H use 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 if
Show sketch of proposed work or furnish two 2 copies of separate drawn
P P ( ) P P
drawings.
g
SREGIAL CONDITIONS m
Desired Starting Date Estimated Time for Completion
Permit to be' issued to �i4c)t. '6 m
the holder of Drain Layer 's Lice
,pa No. Per it will a ire thirty
(30) days after date of issu.a ee. -The. undersigned Drain Layer hereby agrees
to all the terms and conditipns et forth in the permit and the reverse side
thereof. Applicant has re 'eiv Town Permit No. and/or
CHD Permit No. .
Signed
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 in the
name of the Town of South Windsor:
//-1$ -9 z
E gineering Dept. - Date.
Permit Fee Paid $ �5 •� Check umber. b�0 .
Connection Charge Receipt No Dated
Issued by / � �� ' ✓ �' 9 •...-
5
INSPECTION f,{f
Date work started Z Date completed
Sufficient notification receive es No '—
Special Conditions
APPROV- -_ Y —
Inspector Date