HomeMy WebLinkAboutDrain Layers Permit 345 Nutmeg Road Sout ..� ..,
7-7
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
7 DRAIN LAYER'S PERMIT 32
19
Pursuant to written application,
pp , permission is hereby granted to the Licensed Drain Layer
named herein to. perform the ;qprk, indicated below at :(cp
at premises-'owned. by:Rq Pwhose,address is
o9, and to-
Lay House b air►,' Repair House- Dra' n, 'LLay"Main, Other ,
for occupancy or use, with
Family Units, with acres.
Type o ewage to be connected under 5his permit: SANITARY SEWAGE INDUSTRIAL
WASTES Qr, OR ( ) ,C Connection will- be made with
Show sketch of proposed work .or fu ish two (2) copies of separate drawings
Cl
SPECIAL CONDITIONS
Desired Starting Date Es mated Time for.-Completion
Permit_ to be issued to
the holder of Drai#Layer's -License N o)-tx p Permit hirty (S0)°'days
w 11 expire;`t,. �,
after date of issuance. The undersigned Drain Lay'er 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.
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,,* the name of the Town of"g'outh'Windsor:
Engineering Department .Date
Connection Charge Paid �(�J� `U y Permit 'Fee: Paid $
Check Nu ber �.
m )t,PLLEzC. Issued by_,y
ax f3f f
CWW ���
INSPECTION
Date work started Date completed
Sufficient notification received: Yes I40 --'
Special Conditions
APPROVED:
Inspector Date