HomeMy WebLinkAboutDrain Layers Permit 426 Abbe Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: C->
DRAIN LAYER'S PERMIT NO 1658
U 1 A 1 19
Pursuant to written applicatior, permission is here gr nted to the L' ensed Drain Layer named herein to perform
the work indicated below at
on the
side, between
at Premises ownedby ,
whose address is '/(
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for
occupancy or use,
with _Q Family Units, with acres.
Type of Sewage to beconnected under this permit:
SANITARY SEWAGE Oec INDUSTRIAL WASTES ), OR ( . )
Connection will be made with
C,
Permit to be issued totr-yi9�
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
tlp — 7
Signed
Connection Charge Paid L' �nseDrain Layer
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: /��6
INITIAL (Sig)
FINAL (Sig)
APPROVED (D te)
(Sig)
19S-IMCTOR
SCANNED