HomeMy WebLinkAboutDrain Layers Permit 85 Quail Run TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL c�V
DRAIN LAYER'S PERMIT " No `�720
Z21 hrefA 11571 19
Pursuant to written application, permission is hereby granted to the
Licensed Dra n Laye named herein to Perform the work indicated below at
T ' at premises owned by G,n'nS/
whose address is
L� U ! and to
Lay House Drain, Repair ouse Drain, Lay Main, Other
for occupancy or use, with
Family Units;, with : acres .
Type of 'Sewa"ge to be connected under this permit SANITARY SEWAGE ,
INDUS`T"RIAL WASTES
Connection will be imade with 1SG �► $"`
Show sketch of propose.d.. work or furnish two (2) copies of separate drawings.
S' -e y U ed cQ/? r i co/' co hrt-ec4 t` arm
SPECIAL CONDITIONS
�. Desired Starting Date Estimated Time v,, - Completion
Permit to be issu o
the, holder of Drain Layer's License No. i r� Pe will expire thirty
(3.0) days after date of issuance. The u drnllpermit
fined 1b a n ,Layer hereby agrees
to all the terms and conditions set fo t and the reverse sidethereof. Applicant has received Termo. and/.or
CHD Permit No.
- - Signed 01
Li sed rain Layer .
The above named Drain La. erhas I/val lic se i sued by the State of
Connecticut and has filed a :tisfa.cto y nd an insurance policy in the
name of the Town of Sout Ni dsor :
9
r ngin tlng Dept. Date
Permit Fee Paid $ � Che Number /bs7
Connection Charge Receipt No. .� Dated
Issued by
INSPECTION
Date work started 3'2 Date completed 4--,9 Z--
Suf f icient notif is-a on received::—L—des No
Special Conditions
APPROVE tr'cr2 Z
Inspec or Date
x-
Tne National
Assessment
Institute
February 28, 1992
JACQUES, JOI-fhiNY
5--4 IVY LANE �4
SO. W I NDSOR, CT 06074
* * * EXAMINATION SCORE 1:L-.f"QR i * � a
Dear JOHNNY JACQUES
The State Board of Examiners is pleased to advise that you
have successfully completed the examination listed below on
February 15, 199
PASS
This letter will identify you as qualified until such time as
you receive a number on the validated license. HOWEVER, THIS
IS NOT YOUR LICENSE AND WILL NOT BE *HONORED ANY LONGER THAN
THIRTY (30) DAYS. This time period is adequate, providing
you give this matter your immediate attention.
You must complete the enclosed card and return it with a checl.::.
or money Order for the amount of $I.50. 00 for the
Contractor
classification. The State of Connecticut will .L':_sue your
validated license which must be carried on your person
while performing your duties.
FOR: THE DEPARTMENT OF
CONSUMER PROTECTION
Robert Bell , Director
Occupational Licensing Division