HomeMy WebLinkAboutDrain Layers Permit 60 Oakwood Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
� . A
DRAIN LAYER'S PERMIT o 5722
Pursuant to written application, permission is her by granted to the
Licensed Drain La er named herein to perform the work indicated below at
04 jp - at premises owned by
whose address is A /j, and to
Lay House Drain, --�-Repair House Drain, Lay Main-, Other . ,
for "bc-'i occupancy or use, with
Family Units, wiUh 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.
GLIB" W OUIC
LI,
SPECIAL CONDIT
Desired Starting Date Estimated Time for Completion_ j-
Permit. to be issued to v C '6 v s .So �N
the holder of `Drain Layer's License No. Permit will expire thirty
(30) .days after date of issuance. The undersigned Drain Layer hereby agrees
to ad the terms and conditions set forth Mtn the permit and he reverse side
thereof. Applicant has received Town Permit No. A and/or
CHD Permit No.
Signed l
"LikenserDiaAn Layer
The above named Drain Layer has a valid license i ed by, the State of
Connecticut and has filed a satisfactory bond and insurance policy in the
name of the Town of South Windsor
Engiffebfine Dept. Date
Permit Fee Paid $ Check Number
Connection Charge Receipt No. Dated
Issued by
INSPECTTON
Date work started / Date completed 3-/7.0,9Z
Sufficient notific'at on r ceivea: Yes No
Special Conditions
APPROVED: 5
Spector Date
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