HomeMy WebLinkAboutDrain Layers Permit 031 Andries Trail TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMITO 3 52
T
19
Pursuant to written applicatior, permission is hereby granted to;he Licensed Drain Layer na ed�N,herrein to perform
the work indicated below at. lJL on the
side, between
at premises owned by y
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 end the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
x
Signed
Connect' harge Paid ` '7�//�t{ Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid
INSPECTION: Check Number: ,
INITIAL
FINAL •ANNEX
APPROVED (Date)
(Sig)
INSPECTOR