HomeMy WebLinkAboutDrain Layers Permit 14 Abar Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL '
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT NO 2996
Pursuant to written appl'catior, permission is he eby,granted to he Licensed Drain Layer named herein to perform
l
the work indicated below at 1 Ir I - on the
side, between
at premises owned by V L
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
Permit to be issued to
s the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms,and conditions setlorth''on the Ipermit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D. Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid Q U Licensed Drain Layer
'1J�, Issued by
K�`"� Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: �Lw
INITIAL (Sig)
FINAL (Sig)
APPROVEDED
INSPECTOR (Sig)