HomeMy WebLinkAboutDrain Layers Permit 060 Ash Road a TOWN OF. SOUTH WINbSOR
DEPARTMENT OF ,POLLUTION CONTROL
South Windsor, Connecticut, BAP No
List No.•
DRAIN LAYER'S' pERMIT . 0 :9:
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein t. perform
the,work indicated below at A Y
on the
side, between-
at premises owned by
whose address is
,
and to _ Lay House Drain, Repair House Drain, Lay.-Mai
n Other
for IMI '
occupancy or use,
with-
ORFamil` Units,:with.
Type.of Sewage,to be connected under this".permit:
SANITARY SEWAGE A', INDUSTRIAL WASTES bR
Connection will be made with Ab akimbo. hum 40
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 coiM tions-set forth on the lsetm�it�and.the reverse side,
theeof. Applicant has received Town Permit No. -and/or C H D Permit No
for street excavation.
SPECIAL CONDITIONS
T
t;
Y,g
Signed r r
Connection Charge Paid ;t Licensed,Drain Layer
Issued by UWAVIA0 oft
Tag Collector
Permit Fee:. Paid'
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED
(Date)
(Sig) 5:
INSPECTOR