HomeMy WebLinkAboutDrain Layers Permit Krawski Drive TOWN OF SOUTH` W(NDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 4991
Pursuant to written application, permission is here y granted_to xhe L'cen ed Drain Layer
named herein to perform*e oxk indicated below:at '
at premises 'owned - y whose address is
•and to
Lay House Drain; "T � Repair House -Drai , ' Lay'Man, `other ,
for o-ccupancy or`use; wt .
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE ( , INDUSTRIAL
WASTES ( ), OW ( '- h (/�, Connect ion will bet made with
Show sketch of proposed work or furnish two (2) copies of separate drawings:
r -
} ,
SPECIAL CONDITIONS " `'
Desired Start hg Date _( rr Estimated..Time for:Completion.
Permit_ to '.Wi issued`to P6 6 aid' Yt�S
the holder of Brain Layer's •License,No ?o �o �Ct 'Permit vill expire�irt� 04Y days
after date of issuance. The undersigned Drain Layer'he'reby 'a�rees' to al the t band
conditions set forth in the permit and the reverse side thereof. Appiicant ,.ha_, r'eceived
Town Permit No. and/or CID Permit No.
Signed
The above namad; p a.i_' Layer has a ,valid license issued by the`state"`of ICon�fedticut and
has filed a satisfaq;tory Mond and insurance policy i- th name of ;the:T,,,o
`wnro ;` b;titbi:Windsor:
Engineerin Departments ... Date
Connection Charge Paid 0 U':" Permit "Fee:• Paid $
Check Number
Issued by
-Tax Office
INSPECTION
Date wor-E started Date completed
Sufficient notification received.: Yes No
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APPROVED:
Inspector pate