HomeMy WebLinkAboutDrain Layers Permit 20 Pheasant Way TOWN OF SOUTH WINDSOR
F DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT i"F.0 5897
o P6U a,,
Oaf
,
Pursuant to written applicatlbn, permission is hereby granted to the
Lice sed Drain Layer nam d herein to perform the work indicated below at
at prom}ses owned by ��j ,, �O17 S4_
! whose address is - o d .t an to
Lay House Drain, , Repair Ho se Drain, Lay Main, Other
for r'/ M AY occupancy or use, with�51,6
! Family Units, with—' acres.
Type of Sewage to be connected under this ,pe.rmit : SANITARY SEWAGE
INDUSTRIAL WASTES OR ( ),
Connection will b,e made with/4 z2S`-
Show sketch of proposed work or furnish two (2) copies of separate drawings.
SPECIAL CONDITIONS US (J �� I✓ -?�
Desired Starting. Date --, g_Y, Estimated Time for Completion
Permit to be issued to , jh y1 T�.G UeS
the holder of Drain Layer's License No 2p$ '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 has received Town Permit No., S-aS7 and/orb
CHD Permit No.
Signed 6_
Lice5Ved D n Layer
The. above named Drain Layer has a valid license: iss ed by the State of
Connecticut and has filed' a satisfactory bond and insurance policy in the
name of the Town of South Windsor
02
gi ring Dept. Date.
Permit Fee Paid $ Check umber '� 7
Connection Charge Receipt No. Dated -
Issued by
.INSPECTION
Date work started - �2._- Date completed 9 22—
Sufficient notificatio receiv ----,---Yes No
Special Conditions
APP I
Inspector Date