HomeMy WebLinkAboutDrain Layers Permit 13/15 Strong Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 5937
8 ' 1 9=l
Pursuant to written application, permission is hereby granted to the
Licensed Drain Layer named herein to perform the work indicated below at
s at premises owned by V�/.3
whose address is G�/1- F7�
Lay House Drain, epair House Drain, Lay Main, and to
for Other ,
occupancy or use, with Z 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) opies of separate drawings.
2E- M. 9 caOT�
S REQU REM T MUST B F LLO D SPECIAL CONDITIONS '
De ire S ar tin Da L/.—
Estimated Time for Completion��
Permit to be issued to Gc.J
the holder of Drain Layer's License No.
(30) -days after date of issuance. Permit will expire thirty
The undersigned Drain Layer hereby agrees
to all the terms and conditions set . forth in the a1�3 mit and the reverse side
thereof. Applicant has received Town Permit No.
CHD Permit No. `> and/or
Signe . .
Lice ed Dra n Layer
The above named Drain Layer has a valid 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:
4/� 3
-O E gin ng Dept. Date
Permit Fee Paid $ C h e Number
Connection Charge Receipt No. QO OO Dated
C-"900 /�� D. UO Issuedby
INSPECTION
Date work started Z es
completed
_Sufficient notifica n rec e �U
Special Conditions —'�
0
APPROVED: _
C M'�GQwJ _ Inspector Da j