HomeMy WebLinkAboutDrain Layers Permit 79 Steep Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT N2 5889
,L^ , 19 ��,�,.x.
Pursuant to written application, permission is hereby granted to the
Licensed Drain_ Layer named herein to perform the work indicated below at
�
L at premises owned by �:� r,ilE� - �• ,�:v�<�•k, ,_,�i��+.r;<,•,�
whose adds is � F.,7 �7 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 (+7 ,
INDUSTRIAL WASTES ( ) , OR ( ) '7 -!V _.(e r,
Connection will be made with
Show J/$ketch +of proposed work or furnish two (2) copies f separate drawings .
SPECIAL CONDITIONS 1J, U
Desired Starting Date i Estimated Time for Completion
Permit to be issued to
the holder of Drain Layer ' s License No. 2,-)616; 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
Licensed Drain Layer
The above named Drain Layer has a valiv license issued by the State of
Connecticut and has filed a satisfactory bond and insurance policy in the
name of the Town of South Windsor :
j/ ngin Bing Dept. Date
Permit Fee Paid $ ChgckINumber
Connection .No t Recei Charge - ''•='
g P a Pated
A 1
Issued by
i
INSPECTION
Date work started jeL —/ S 7 Date completed
Sufficient notif is-a on received: des No
Special Conditions
APPROVED• e4l
Inspector Date