HomeMy WebLinkAboutDrain Layers Permit 83 Morgan Farms Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT V;,, 5 4 9 •
, 19gd
Pursuant to written application, permission is hereby granted tofthe Licen d Drain Layer
named herein to perform the work indicated below at ^� !(itoa-6/lf� i}YL � 10k-.
at premises owned by 1Z`�(C l��-Uco whose address is
and to
Lay House Drain, 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 (T-l;" INDUSTRIAL
WASTES, ( ), Oft,r( ) Connection will be made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
�� PRovaSl� C.o�cJccs�ov
t'�Ott.�A�J F't�t'Lrrts Dom.
SPECIAL CONDITIONS
Desired Starting Date G 36 Estimated Time for Completion
Permit to be issued to J E� SQATCtZ Co-,V1UCTt(,W f toc.
the holder of Drain Layer's License No. Z4'7`(gq Permit will expire thirty (30) days
after date ,of issuance. The undersigned Drain Layers reby agrees to all the terms and.
conditions set forth in the permit and the reverse ide thereof. Applicant has < ec d
Town Permit No. and/or CHD Permit No.
Signed
Licensed Dr ,'n Layer
The above named Drain Layer has a valid licen a ssued by the State of Connecticut and
has filed a satisfactory bond and insurance policy- n the name of the. Town of South Windsor:
Engineering D artment Date
Connection Charge Paid ` j Permit Fee: Paid
,00 Check Number 1—
Issued by
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: es No
Special Conditions
APPROVED: -3d ,
Inspector Date