HomeMy WebLinkAboutDrain Layers Permit 37 Steep Road j
TOWN OF SOUTH W!N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL p c
DRAIN LAYER'S PERMIT C 5786
' 1 9 9z
Pursuant to written application, permission is hereby granted to the
censed Drain Layer named herein to perform the work indicated below a
at pr is s owned by r •' S �-el ��c�
ose address is �C.
-e- �� and to
y House Drain, Repair House D ain, Lay Main, Other ,
r occupancy or use, with
milt' Units , with acres.
Type of Sewage to be connected under this permit : SANITARY SEWAGE ( ,
NDUSTRIAL WASTES ( ) , OR ( )
onnection will be made with V C !2
how sketch of proposed work or furnish two (2) copies of separate drawings.
, r
£x,s(.
SPECIAL CONDITIONS �c
)esired Starting Date ///Z Estimated Time for Completion
Permit to be issued to t n YV . off 4 '
:he holder of Drain Layer' s License No. Q Permit will expire thirty
,30) days after date of issuance:. IThe undersigned Drain Layer hereby agrees
:o all the terms and conditions se-t forth in the permit; and the . reverse side
:hereof . Applicant has received Town Permit No . ,,, and/or
;HD Permit No.
Signed ZL
__rn,
Xs,
sed rain Layer
The above named Drain Layer has a valid tic issued by the State of
;onne`cticut, and has filed a satisfactory bond and insurance policy -i.n .the
lame of the Town of South Windsor;
Engi eer ng Dept. Date
?ermit Fee Paid Check Number 002 V
connection Charge Receipt No. / Dated 9
Issued by
CNSPECTION _
)ate work started �p� - yY Date 'completed
sufficient notification received: e yes No
special Conditions
J /¢ tlal> �7 3 57b� 12v� IA-7 APPROVED:
Inspector Date
,v oT i1VS!'4 e- i !3 i7far