HomeMy WebLinkAboutDrain Layers Permit 85 Krawski Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 0 4979
3 )2— 19�
Pursuant 'enl' _emission is ere rant to the is nse� y g d Drain Layer
jnamed herein to per.fo th work indicated-below at -
at premises owned :by Lj �n(, whose address is
,.;
. and to
Lay House Vfa n', Repair''�Touse '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
Show sketch of proposed work or furnish two (Z) copie's ;of separate 'drawing:
SPECIAL CONDITIONS `
Desired Starting Date ::.Estimated Time =for= Completion
Permit to be issued..to
the holder of Drain`.'Layer's,-License No ` , Permit will eXpire `th�11�Kty (30)' days
after date of issuance. h6 undersigned Drain Layer hereby agrees to all tfil"'te s and
conditions set forth in the permit and the reverse side thereof.` ApCk
plicant has received
Town Permit No. and/or, CHD:Permit No • _
Signed
, sensed gain.-Layer
The above name&. Drain Layer has a valid license issued by e'State -of Connecticut and
has filed a satisfactor5y bind and.insurapce policy in a nama of the Twn f`'South,Windsor:
- 25'b
Engineering Department Date
Connection Charge Paid '5tW j 3 =r TPermit Fee: Paid` $ r
Check Number
Q Issued by`
Tax Office
PECTION
- wort started Date completed
ticient notification received: Yes No
�al_Conditions
APPROVED:
Inspector Date