HomeMy WebLinkAboutDrain Layers Permit 15 Abar Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT
O 294
SCANNED
Pursuant to written applicatior, permission is here y granted to the Licensed rain Layer named herein to perform
-�
the work indicated below atj
on the
side, between
�' �j
at premises owned
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
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 set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
C 3 q i� -d 3
Signed
Connection Charge Paid -116� .66 Licensed Drain Layer
` ' �d__ Issued by
Tax Collector
Permit Fee: Paid $ U INSPECTION: Check Number: L�t d
INITIAL
-- ---------- ------ --(fig)—---- ----------_ ----
\ FINAL (Sig)
APPROVED r�
(Date)�P�� `'�;�
\� INSPECTOR (Sig)