HomeMy WebLinkAboutDrain Layers Permit 14 Rockwell Court TOWN OF SOUTH W N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
\lC•�1C @�� p DRAIN LAYER'S PERMIT a .yo 5851
Pursuant to written application, permission is hereby. granted to the
Licen$ed Dra.in`-Layer, namd herein to per€orm. the work indicated belo at
�� -e / e at premises owned by y,/ ',
whose address is oft2 a 'to
Lay House Drain, Repair Ouse Drain, Lay Main, Oth r 1. ,
for m occupancy, or use,_ with
Family Units, w'th acres.
Type 'of Sewage to be connected under this permit : SANITARY SEWAGE
INDUSTRIAL WASTES ( ) , OR ( )
Connection will be made with
f Show sketch of proposed work or furnish two (2) copies of parate drawings.
SPECIAL CONDITIONS
--T
i Desired Starting Date_ l0—�2 9Z Estimated Time for Completion
Permit to be issued to J4GQ Lt
the holder of Drain Layer's JZ cen se N�. -�cy&zo . Permit will expire thirty
(30), days after -date of issuance. The undersign'e.d Drain Layer her agrees
to all the terms and conditions set forth , in the permit and the. reverse side
thereof.' Applicant has `received Town Permit No . and and/or
CHD Permit Yo.
Signed .. .
ra Layer
The above named Drain Layer has a valild license slued by the State of
Connecticut and has filed a satisfactory, bond and insurance policy in. the
name of the Town.':of South 'Windsor:
i eering Dept. Date
Permit Fee Paid $ .S .00 Check tuber O\Aa— 0
Connection Charge Receipt, No._ �L Dated �0\1
Issued by.
INSPECTION
Date work started 4-- gam. Date completed I q__j Z _
Sufficient notificaulon rece vvea: Yea N
Special Conditions
APPROVE
Inspector Date