HomeMy WebLinkAboutDrain Layers Permit 0754 Avery Street TOWN OF SOUTH WINDSOR v
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut S1ac�-724
List No.: _
DRAIN LAYER'S PERMIT Np 828
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 75`: ureet
on the
side, between
at premises owned by
whose address is Same
and to Lay House Drain, Repair House Drain, Lay Main, Other
for :`e i` eatia"L occupancy or use,
with UA Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES OR ( ) —
Connection will be made with -
Permit to be issued to Jo1.a A. Lamaou
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 761 Licensed Drain Layer
4--2-75 Issued by k n1it""T. was.4
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)