HomeMy WebLinkAboutDrain Layers Permit 22 Stiles Court TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL 5800
DRAIN LAYER'S PERMIT '' 0
19 �.-
Pursuant to written application, permission is her by granted to the
License Drat' Laye named herein to . perform the work ndicated. belo at
'P ^Q at pr wises o,n , by 10
whose a ress 3 S' c :So o/'' a d- to
Lay House Drain, Repair House Diain, Lay Main, Oth r ,
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 _SD 31-0 f // to
Show sketch of pr posed" work or -furnish two (2) copies of separate drawings.
1
SPECIAL CONDITIONS p1�yjqe 4114 , Z,4,,o7
Desired Starting Date Estimated Time' for- Completion
Permit to be issu d to JN , /uS7lZ �} U"
the holder of Drain Layer's License No. Permit. w 1 expire thirty
(30) days after date of issuance. The. undersigned Drain n Layer hereby agrees
to all the terms a-nd conditions set forth in the permit and the reverse side
thereof. Applicant ha's received Town Permit No . and/or
CHD Permit No.
Signed G
L cen d D ain Layer
The above named Drain Layer has a vat license. is: ued by the State of
Connecticut and has filed- a satisfactory b nd and nsurance policy in the
name of the Town of South Windsor:
E gin a ng Dept. Date
Permit Fee Paid $ Ch ck Number o—D,
Connection Charge Receipt No. 4 Dat;ed 71619 Z
Issued by
INSPECTION
Date work started Date completed
Sufficient. notification rece ve es No
Special Conditions
APPRaVf"- PIZ,
Inspector Date