HomeMy WebLinkAboutDrain Layers Permits 201 Scantic Meadow (2) f •- * ' =` _� <rtul"`. r w,-:F` �_ a..,:•�r`,; y .>�: ;,��F de:.� .,r<_ sd..... '*. - i ',,C. s".'
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL ��TT
DRAIN LAYER'S PERMIT NN0. 4684
Z�U 19
Pursuant to written application, permission is hereby g anted to t e Licensed Drain Layer
named herein to perform th work Indic to below_ ] / _ v /0
at premises owned by a -„ whose address is
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 ( ), INDUSTRIAL
WASTES ( ), OR ( ) Connection will be made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
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SPECIAL CONDITIONS
Desired Starting Date w - Estimated Time for Completion _Z 1 - t>`7
Permit to be issued to I a- Gz LA .c-, / r //\/ C-- .
the holder of Drain Layer's License No. v 'G s". 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
License/ 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:
Engineering De ment Date
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Connection Charge Paid Permit Fee: Paid
Check Nu
AIssued by i' <.._
Tax Office SC r
INSPECTION
Date work started �� �i 82 Date completed 22 , 92
Sufficient notification received: r/' Yes No
Special Conditions
APPROV ram". ZJ372
Inspec f or Date