HomeMy WebLinkAboutDrain Layers Permit 35 Ahern Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT` OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT O 3402
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below ar on the
side, betty en
at premises owned by
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 ( )
A
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 t e reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection ge Paid LF�. �® Licensed Drain Layer
7:
Issued by
Tax Collector
Permit Fee: Paid $ 2�
INSPECTION: Check Number: 70 91
INITIAL (Sig)
FINAL (Sig)
APPROVED
INSPECTOR ( )