HomeMy WebLinkAboutDrain Layers Permit 108 Andries Traila, ._,_, n-»�..+.,,.. ,�"ws+vat.°eye.,;•v1�R'.s,'if: Y'.`:;�;1&�t.*�?,'4��' �` 9#, 'AJ��°��
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT. O 3222
19�
Pursuant to written a plicatior, permissions is hereby granted lto the�icensedd Drain Layer med he reinto perform
the work indicated below at �� lYf e e n 0% on the
side, between
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
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.
e
SPECIAL CONDITIONS
f K 7 O Signed
Connection Charge Paid . 00 6 Q Licensed Drain Layer
Issued by
A(I) :T Collectofi _
��,`t('J 0
Permit Fee: Paid $
INSPECTION: Check Number: 3 _
INITIAL (Sig)
FINAL (S
APPROVED � �
(Sig)
INSPECTOR
.� -
f
SCANNED