HomeMy WebLinkAboutDrain Layers Permit 0229 Avery Street (2) TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut - a`
I¢.F List No.:
DRAIN LAYER'S PERMIT 505
IN
1973
Pursuant to written applicatior, permission is hereby.granted to the Licensed Drain Layer named herein to perform
the work indicated below at Willilliiii1w
on the
side, betweeAA>l
at premises owned by _
whose address is.
and to --A-Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with acres.
Type-of Sew„ase to be_cofl.ected-under-this—pe n
SANITARY SEWAGE j,.INDUSTRIAL WASTESOR ( ' )
Connection will be made with M. yAjN ilk ;
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
MW X6 NOW* ,.
- Issued by
Tax Collector
Permit Fee:. Paid$ _
INSPECTION: Check Number:
INITIAL (Sig)
FINAL >" (Sig)
APPROVED (Date)
INSPECTOR (Sig)