HomeMy WebLinkAboutDrain Layers Permit 32 Abar Lane `4M.,.7. v%ice
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.: _
South Windsor, Connecticut
List No.: _ a
DRAIN LAYER'S PERMIT O i34
l 19
Pursuant to written applicattior, permi sion is hereby granted the Lice ed Drain Layer named herein to perform
the work indicated below at - 6-4-7 � � �-L� (� on the
side, b etweVn
at premises owned by C'
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 ( j, 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
Signed
Conne -harge Paid .�j Licensed Drain Layer
' Issued by
Tax Collector
Permit Fee: Paid $ _ �y
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date) �f
(Sig)
INSPECTOR