HomeMy WebLinkAboutDrain Layers Permit 0211 Avery Street T6 N Of S-06*«1 /INDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT O 312
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at V 2// /lea on the
side, between. t-'fi :
at premises owned by l _
whose address is
r+
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
t`- fi3
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAG , INDUSTRIAL WASTES., OR
Connection will be made with
x h ` 6) 140-st$'a
vivo
Permit to be issued to Vito y1'7
the holder of Drain Layer's License No. Permit will expire onAiy, +
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 oftte Lw*r to P MW tMk
Signed _ s -. _. ,.1, .
Connection Charge Paid $ Licensed Drain Layer
(Sig) Issued by ro
Tax Collector
Permit Fee: Paid $
INSPECTION: r "
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig) .
INSPECTOR