HomeMy WebLinkAboutDrain Layers Permit 258 Abbe Road (2) -
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.:
~ ` _� DRAIN LAYER',S PERMIT
N° 1679
l , 19��
Pursuant to written applicatior, permission is hereby grantedto the LicensedDrain Layer named herein to perform
the work indicated below at on the
side, between
n
at premises owned by, II t- odr' p> � ��jr-c,,) c, '�,�c 5
whose address is r� S� k loy /1 J ,
and to _(�ay 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(L�,.INDUSTRI_AL WASTES`.( ), OR,( )
Connection will be made with G, li/G,
Permit to be issued to C--eVt'v1
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.
- a
SPECIAL CONDITIONS ,(J"21
Signed
0 Connection Charge Paid 7 License Dra ayer
/ 3 g,y
Issued by Lo
Tax Collector
Permit Fee; Paid �
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED4.11 (Date)
7 (Sig)
INSPECTOR