HomeMy WebLinkAboutDrain Layers Permit 89 Troy Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORSE
BUM OF POLLUTION CONTROL.
DRAIN LAYER'S PINKIE L Nn J r C9Cp 55
Pursuant to written application, permission is hereby granted to the
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11 e s d ➢ 1 Laye d herein to p form [he work lndica[etl be [
n S, �. . _S at premises owned by l
h e eddr h, . h m o and t
Lay Rouse Drain, Repair House Drain. Lay Mein. other .
for occupancy or use. with
Family Unite , with acres . /
Type of Sewage to be c ected under thin permit : SANITARY SEWAGE ( y .
INDUSTRIAL WASTES' ( ) . OR (o)n
Connection will be made with b 1, Pvc
Show sketch of proposed work or furnish two (2) copies of separate drawings .
I �v pile
SPECIAL SPECIAL CONDITIONS
Desired Starting Date " - Z-. Estimated Time for Completion 77
Permit t0 be issued t0 ��J S/FrTE /�XC hJhiDR$
the holder of Drain Layer 's LSh?va 54 Permit WAIL expire thirty
(30) days after date Of issuance. The undersigned Drain Layer hereby agrees
to all the terms and conditions set forth An the permit and the reverse side
[hereof . Applicant has received Town Permit No . and/or
CND Permit No. �� '
Signed OS � •Ch
Licensed Drain 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 :
z�-9Z
Ine4tpng Dept. � Date
Permit Fee Paid $ 0-5- Op Che ber #Z2ZI
Connection Charge . Receipt No. Dated - 2
Issued by Z2 _
INSPECTION �
Date work started ¢ - 12. -9 z. Date completed )C.-0.Z-' qa
Sufficient notifica CfooTeceivve : en No
Special Conditions
APPROVM, ¢ 23-
napecto[ Date