HomeMy WebLinkAboutDrain Layers Permit 89 Pheasant Way TOWN Of SOUTH --VNI N DSOR P
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
z DRAIN LAYER'S PERMIT /' O. 5102
19
q Pheao - 0 a(4-
Pursuant to written application, perm Sion is here y granted to L en ed Drain L yer
named herein to perform a work indicated below at
,
at premises owned by n. wh a 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 (IV INDUSTRIAL
j WASTES ( ), OR ( ) �f onnection will bde with
Show sketch of proposed work 9 'furzni } ot^(i2) c es f separate drawings.
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70
Le,
` SPECIAL CONDITION$ //�S G' j / �'4:7v �
F Desired Starting Date Estimated Time for Completion
Permit. to. be issued to �� �?�I. (y;vS'��flTiy�✓
the holder of Vlixi Layer's License No. 2 r''g, Permit will expire thirty (30) days
after date of issuance: The undersigned Drain Layer hereby agrees to all the terms and
conditions set fort-4., iii the permit and the reverse side thereof. Applicant has received
Town PermitrNo- and/or CHD Permit No.
Signed
'= 'tensed a aye
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 6e name f the Town of South Windsor:
Eniee. S�D�ppxtte Date
77/�
' Conne at on Charge aid 37 Pit Fee: Paid $
Q(��� Check lNumber o 7 '
Issued by
Tax` Office {
\` INSPECTION
\Fate work started Date completed- ^/
ufficient notification received: Yes No
ecial Conditions
:. APPROVED:
Inspector Date