HomeMy WebLinkAboutDrain Layers Permit Lot 47 Rosemary Lane ,. .., ., _:_,,, .:::._ •. ..-. �.;,,-xwx; ...:;:e- �.;<C`sr+ ^.ems,-+ '';3 ks���'T" 'P "�"�`�_ ..
TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT a 4 E;
19 9
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer
named herein to perform the work indicated below at k00.SE MAR q L.n .
at premises owned by _ /l �1(f (ows, whose address is
MaIIcNlsT '- (1Z-1-J, and to
Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use, with
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE (11', INDUSTRIAL
WASTES ( ), OR ( ) _ Connection will be made with
4 PYc
Show sketch of proposed work or furnish two (2) copies of separate drawings.
SPECIAL CONDITIONS _ - ---
Desired Starting Date (95/ Estimated Time for Completion �gy
Permit to be issued to �1c.��,� ,� � �,.i�; ��tr� -T-C.
the holder of Drain Layer's License No. 2 0 e 4I6 Permit will expire thirty (30) 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
Licen ed Drain Layer
The above named Drain Layer has a valid license isstied by the State of Connecticut and
has filed a satisfactory bond and insurance policy 1,� th name. of Town of South Windsor:
` L cf
ngtineer pg partment Date
Connection Charge Paid $ C� Berm �t Fee: Paid $ 16 , U
eck Dumber
Issued by -� Z
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector Date