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HomeMy WebLinkAboutDrain Layers Permit Austin Circle TOWN OF SOUTH WNDSOR DEPARTMENT OF PUBLIC WORKS 7 BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT 0 5725 Z 19 � .- Pursuant to written application, permission is hereby granted to the Licensed Dr id Layer pamed herein to perform the work indicated below at (>S� ��/' y✓ at pr mises ow ed byi�I whose addre s is 17 IE K and to Lay House Drain, Repair Ouse Drain, Lay Main, Other , for occupancy or use, with Family Units, with acres . Type of Sewage to be connected under this permit : SANITARY SEWAGE f INDUSTRIAL WASTES ( ), OR { Connection will be made with 1�.'� Show sketch of proposed work or furnish two (2) copies of separate drawings. SPECIAL CONDITIONS 06A) u4t5� Desired Starting'-Date Estimated Time for Completion Permit to be issued to the holder of Drain Layer' s License No. Permit will expire, thirty (3O) 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. and/or ' CHD Permit No. Signed Linen ed Drain Layer The above named Drain Layer has a valid license issued by the State of Connecticut and has filed a satisfactory bond Wandisurance policy in the name of the Town of South Windsor: ` 1 lVc�a/� ngin' ing Dept. Date Permit Fee Paid $ Che k Number Connection Charge Receipt No, pN'C Dalted Issued by INSPECTION Date work started Date completed Sufficient notification rece, ve : Yes No Special Conditions APPROVED: Inspector Date INN TOWN OF SOUTH WI N DSOR 912e DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL C r� 1twri DRAIN LAYER'S PERMIT N2 5721 �� 19� =�_,, -&,? Pursuant ten application, permission is hereby granted to the License Drab La,Y,er named herein to perform the work indicated below at IMMu�.� premises owned by 3 /7j-VCL*1.S4 whose address Is f S-C so,, -ca- and to Lay House Drain, jNf_Repair ouse Drain, Lay Main, Other , for occupancy or use, with Family Units, with acres. Type of Sewage to be connecte under this permit : SANITARY SEWAGE , INDUSTRIAL WASTES ( ) , OR ( ) l/iV C9iUL Connection will be made with J>UJ67) Show sketch of proposed work or furnish two (2) copies of separate drawings. SPECIAL CONDITIONS �v U Oi✓ Td. �U000[•y� Desired Starting Date ,6 stimated�tTi a for Completion I!'Yta S Permit to be issued to j_/�VI -j AJ5,,';+Z 0�r-4V� the holder of Drain LayerVer o.Tb Permit. will expire thirty (30) days after date of iT e u i- d Drain Layer hereby agrees to all the terms and condt fort n the pe mit and the reverse side thereof. Applicant has r n Pe m t No . and/or CHD Permit No. U Sign Li ed ain Layer The above named Drais a val license is ed by the State of Connecticut and has filedctory bond and insurance policy in the name of the Town of South ng nee Dept. Date Permit Fee Paid $ z -0 O Check N mber hO 5 '07 1 Connection Charge Receipt No. N (DaV G- V6&�U>Dated �--! Issued by INSPECTION Date work started Date completed Sufficient notification received: es No Special Conditions APPROVED: Inspector Date .. TOWN OF SOUTH WINDSOR " , ; / DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL fJ^ t , , 5721 ' o t ` DRAIN LAYER'S PERMIT ' 19 Purs"uant 'to writ en applition, permission is hereby granted to the Licensed Draj La er named herein to perform the work indicated below at ! talc aWA(ty/raY premises owned by .� I1'JS GCx1 whose address Is 6 g sai and to Lay House Drain, A_Repair ous-e Drain, Lay Main, Other , for occupancy or use, with Family ,Units , with acres . "Type of Sewage to be connecte under this permit : SANITARY SEWAGE ) , INDUSTRIAL WASTES ( ' ), OR ( -) /7-/A.) Connection will be made with uj Show sketch of proposed work or furnish two (2) copies of separate drawings 5�� PrO U � ri9Gv�yl oyl, SPECIAL CONDITIONS C..� UC �✓ ?T% EGCou1t FS Desired Starting" Date WZLIA# stimated Ti a or Completion; NQ, Permit to be issue t -l� iuSTfZ �G4VE� the hol.der -o.f Drain Layer's License o.7z>, . — S Permit ,:will e'cpire "thirty (30) days after date of issuance. T e u r d rain Layer hereby agrees ." to. all the terms and conditions set fort i the pe mit and the reverse side thereof, Applicant has re, eived To n Pe mi No. and/or . CHD -Permit., No. - - Sign ✓ Li ed a i n Layer The above named Drain La er as a val license is ed y the State of Connecticut and has filed a sa is actory bond and i s r _ IP licy in the . name of the Town of South Winds r ng nee Dept. Date Permit Fee Paid $ Check N mber Connection-Charge Receipt No. P'J 0IQG-- 267-� r—')D ate d �•.----•-----•- Issued by. / INSPECTION Date work started Date completed Sufficient notification received : es No Special Conditions APPROVED: Inspector Date G , ; _ ,«The National Assessment Institute February 28, 1992 JACQUES, JOi-NNY 5--4 IVY LANE �F. SO. W I NDSOR, CT OC i r 4 •_ } EXAMINATION SCORE REPORT . * Dear JOHNNY JACGti_tES: The State Board of Examiners is pleased to advise that you have successfully completed ti-ii-•: examination listed below on February 15,, 1992: P-7 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 (Si"_ ) DAYS. This time per iod is adequate, providing you gave this matter your immediate attention,. You must complete the enclosed card and return it with a checl; or money order" for t•hl••:' amount of 'Y 1.5r„ . L,0 for the Contractor ctor classification. The State of Connecticut will :issue your validated license which must be carried on your person while performing your duties. FOR THE DEPARTMENT OF' CONSUMER PROTECTION Robert . Dell , Director Occupational Licensing Division t