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HomeMy WebLinkAboutDrain Layers Permit 3 Porter Green TOWN OF SOUTH WI N DSOR DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT `E;N2 5 � Pursuant to written application:, permission is hereby granted to the Licensed Drain Layer named ere n to perform th work indicated belo at ke ��cllat premises own d by L �7� ls ' whose ad d res,s is S� 1 U d to Lay House Dra n, Repair ouse. Dra n, Lay Main, Othe2' , for FAol occupancy or use, with Family Units, with ' acres . 7l Type ofSewage to be connected under this permit : SANITARY SEWAGE ( y , INDUSTRIAL WASTES` �( ) OR ( ) Connection will be made with S 's S' "S�4Jff�' a ►,..5-e Show sketch of proposed work or furnish two (2) copies of separate drawings. J I SPECIAL CONDITIONS , i" ©Gloo'ej is Desired Starting Date 2 Estimated Time for Completion 11?Ati Permit to be issued to � �gCQl,t?S the holder of Drain Layer's License No. 2ab%' �a Permit wi.11..expire thirty (30) days after date of issuance. The .undersigned Drain Layer hereby agrees to all the terms and conditions set forth in the ,per:mit .and • the reverse side thereof, Applicant has received Town Permit No . 7CJ -.and/or CHD Permit No. Signed Licen d Dr in Layer The above named Drain Layer .has a valid licens, issued by the State of Connecticut and has filed a satisfactory bond and insurance poli-cy in the name of the Town of South Windsor En ineering Dept. Date Permit Fee Paid $ 00 _ Check mber Connection Charge Receipt No.. Dated Issued by_ INSPECTION _ q Date work started Date completed /�- Sufficient notification rece v es No Special Conditions ' APPRMLEiY54jg Inspector Date