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