HomeMy WebLinkAboutDrain Layers Permit 441 Abbe Road • ` TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut !�
List No.: 3 a
DRAIN LAYER'S PERMIT NO 2224
•
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side,Ltween
whose address is at premises-owned by �'daxt. �
_..i
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
Signed
Connection Charge Paid Licensed Drain Layer
Issued by
ax Collector
Permit Fee:. Paid $AS _�a 3 �v
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR
(SCANNED
1
N
s.
� t
o
NOT SOUTH WINDSOR POLLUTION CONTROL
LOCATION -01/
OWNER 7/n r
TYPE OF WORK
DATE o-31-00 PERMIT tit PIPE
INSTALLER
INSPECTOR .� DRAWN BY
SCANNED