HomeMy WebLinkAboutDrain Layers Permit 0271 Avery Street (2) TOWN OF,, §10:l1TH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
-- ' South Windsor, Connecticut
a
f DRAIN LAYER' S PERMIT
11973
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at > A' on the
41110k-side, between
at premises owned bye
whose address is
and to K Lay House Drain, Repair House Drain, Lay Main, Other
for radAmAd occupancy or use,
with 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with (6) XIAMIU&—
Permit to be issued to ^
the holder of Drain Layer's License No. Permit will expire on.& a 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 %WA UM *0 YAM* "SW AM bob
Signed . .. . , • ; .,-{
�
Connection Charge Paid + , — Licensed Drain Layer
' X Was" (Sig) Issued by *h* A* 11111MAINN-1010V AP4
Tax Collector
Permit Fee: Paid $
INSPECTION: a** A r. 1
INITIAL (Sig)
FINAL — (Sig)
APPROVED (Date)
(Sig)
INSPECTOR