HomeMy WebLinkAboutDrain Layers Permit 700 Burnham Street (2) THE METROPOLITAN DISTRICT COMMISSIQN
HARTFORD, CT
CONTRACTOR'S PERMIT U�
Permit# 99604
Work at /4//o �A,w Lot#
on the AlOA 14 side, in the town of LtA~2kP40L Connecticut.
between GL Ar J*
at premises owned by ! 1
whose address is Pa..AO&&
NATURE OF WORK: Douse Conn.; ❑ Lot Drain, Catch Basin; 0 Main Sewer,
a ew; ❑ Repair, ❑Bulkhead; 0 Utility Drain; ❑Other
OCCUPANCY OR USE: 90esidential with ow 6 family units;
❑Commercial; 0 Industrial; ❑ Other
Public Sewer or Drain is: 0 anitary ❑Storm ❑Combined
Only the following SEWAGE or DRAINAGE is allowed to this connection:
B-�anitary Sewage; ❑Other
0 Storm Drainage including surface and sub-soil water:
Connection will be made with_C y Ak/c
Locate e A e 73
SPECIAL CONDITIONS
Data from plan# Required plans, submitted and approved ❑
Job Code: v m- t/a /A/f Contractor's State License#fit 9•a267 95'G
Contract# 3.47 Contractor's insurance expires 7-l-dj,-'
Main Sewer Approved For Connections.0 Street excavation permit# / 3370
Sewer Tributary to . HTi1'D W.P,C.P. Call-Before-You-Dig#
❑ Property Assessed for Sewer ❑_Outlet Charge Paid on
Deferred Assessment to become Due and Payable as Requested by Owner on
Sewer Connection Charge Agreement Signed by Owner on
Voluntary Sewer Lien Signed by Owner and Initial Installment Paid on
Connection Charge Paid in Full on
Permit to be issued t
The underst ed agre s t perform under ordinances the work indicated.
Signed by
Permit Issued By Date
First Inspection Final Inspection
Called Called
To Insp. To Insp.
Final Inspection Approved on Co-q-o S By L{. a-oA4 E S
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