HomeMy WebLinkAboutDrain Layers Permit 98 Saddleback Drive J.
TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT NO, 4802
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Pursuant to written application, permission is hereby grantq'-'d,, to the Licensed Drain Layer
named herein to erfo thwor indicated w be
at premises owned by h whose address is
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 INDUSTRIAL
WASTES ( ), OR ( ) Connection will be made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
SPECIAL CONDITIONS
Desired Starting Date 7-3I- 217 Estimated Time for Completion
-�41-2�L (�d
Permit to be issued to S6 A/ST
the holder of Drain Layer's License No. Za7- Permit will expire thirty (30) days
after date of issuance. The undersigned Drain Layer h eby agrees to all the terms and
Layer
h eby agrees t
conditions set forth in the permit and the reverse sidd\ hereof. Applicant has eceived-
Town Permit No. and/or CHD Permit No.
Signed
Signed zzz
Licensed
rj -d Dr in Layer
icense
The above named Drain Layer has a valid license issued by the State of Connecticut and
has filed a satisfactory bond and insurance policy n the name of the Town of South Windsor:
7 -Z y -S7
Engineering Dep ent Date
Connection Charge Paid Permit Fee: Paid $
Check Number
Issued by
Tax Office
INSPECTION
Date work started 9 43 7 Date completed
Sufficient notification received: ---- Yes No
Special Conditions
APPROVED:
IffTf-ector Date