HomeMy WebLinkAboutDrain Layers Permit 079 Andries Trail TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT0 3244
r
19E
Pursuant to written app icatior, permissio s hereby grapted to the Licensed Drain Layergnmed,herein to perform
the work indicated below at /� on the
side, between
at premises owned by I/it/
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
$ tl.�syQ`l�Z Signed y
C nnectioinn,
Charge Pai Licensed Drain Layer
011A �/ Issued by
-T tqr
Permit Fee:. Paid
INSPECTION: Check Number. "3
INITIAL (Sig)
FINAL Mgg
APPROVED `?
�INEp
(Sig)
INSPECTOR