HomeMy WebLinkAboutDrain Layers Permit 59 Morgan Farms Road .'; 5 • '.a.1.R. .. - ,`4 'a' `^.ai_ Y -.."�!F;y¢ 4 .YJ'4 y.s{`''''.:?'r `--Y. i' y+ ::.. f. �.•'d!:*
TOWN OF SOUTH WINDSORi
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT Xo, 4524
5q fY1�r9 �' &L - , 19
Pursuant to written application, permission is ereby grantod/to the Licensed Drain cr_/
named herein to perform th . work indi tec� below at
at premises owned by i whose ad/ress is
T— 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 ( ), INDUSTRIAL
WASTES ( ), OR ( ) Connection will be made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
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 thirty (30) days
Y
after date of issuance. The undersigned Drain Layer hereby agrees to all the terms and
conditions set forth in the permit and the reverse side thereof. Applicant has received
Town Permit No. and/or CHD Permit No.
n
Signed/
L censed Drai 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:
Engineering Department 4� Date
Connection Charge Paid 'Permit Fee: Paid $ U
Check Number
i �
ssued by
Tax Office
1
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector Date
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
' BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT .Xo, 4421
r;
r:
Pursuant to written application, permission is hereby granted to the Liciensed Drain Layer
m
named herein to. perfor the work indicated below t Zia ) %1 ,. r G i'—yk :j
at premises owned by _.,y 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 ( ), INDUSTRIAL
WASTES ( ), OR ( ) Connection will be made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
Lam' -•�--...—�""
SPECIAL CONDITIONS ' i
Desired Starting Date Estimated Time for Completion
Permit to be.issued to � (o_f_ Q / �G n•S /'(�r�,, r;n
the holder of Drain Layer's License No. ;j LL ajj 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 permit and the reverse side thereof. Applicant had received
Town Permit No. and/or CHD Permit No.
Signed
ti i ensed 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 'n t e name of the Town of South Windsor:
Engineering Department Date
Connection Charge Paid /Q O[o U Permit Fee: Paid $ j-'L!(�
Check Number
JG2l.t.t 1��.r�. �z( Issued by
0/ • Tax Of fice
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector