HomeMy WebLinkAboutDrain Layers Permit 019 Andreis Trail ,tsa*' ..r�yry��",,'lT��,;'F" ��$� '�. �: ``��13"°•`'��$�•.'•r' -t�"`,�� t'.F7�?��?�* •�G y"'�.�. a1:m"'t �i. �i $t ` fy���,��", ��s,�a
TOWN OF SOUTH WI N DSOR r
DEPARTMENT OF POLLUTION CONTROL Bhp No..-
South Windsor, Connecticut
List No.:
DRAIN LAYER',S PERMIT N0 3223
19
Pursuant to written applt'catiorr, permission is hereby gra ted to the Licensed Drain Layer n ed�herein to perform
the work indicated below at l� I /\ t lei
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 ( 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
nnection Charge Paid d Q, Q b Licensed Drain Layer
Issued by
T Collector
Permit Fee: Paid $
INSPECTION: Check Number: 33 /
INITIAL FINAL TANNED
APPROVED (Date)
\ i (Sig)
INSPECTOR