HomeMy WebLinkAboutDrain Layers Permit 51 Beechnut Lane (2) TOWN OFF SOUTH IN ' S: A
s DEPARTMENT :OF POLL UTIQN :CONTROL.
B/P No.:
Ssoufh`Windsor, Connecti'cut
Lis# s:
DRAIN' LAY EW-5. P.ERMIIT
700 9:
V,, ',l91
Pursuant to written applicatior, permission is hereby granted to the Liceived Drain Layer named herein to'perform
the work indicated below at. Lam. &at on the
T T�
} side,
at premises-owned by
whose address-4s =4 '
and to _Lay House Drain,, Repair House Drain, Lay Main;; Other }
for _
occupancy or.uge,
with' Family Units, with actes.
Type,of Sewage to be connected under this permit:
SA NdARY SEWAGE ( :), INDUSTRIAL WASTES..(.
Connection will be made with -
t
Permit to be:issued to
the holder of Drain Layer's Luerise No Permit will,expire on_ � �� l.2 '
The undersigped Drain Lay her agrees to all the terms',,and conditions,set forth on the permit and the reverie.sid
thetecz :Applicant:has received Town Permit No. and/or G•H D.Permit No
'for street•excavatior
SPECIAL CONDITIONS
. - -
Signed s
4 dctioA Charge Paid 1 " It. Drain Layer.;
h Issued b ' .
:Tax Collector y � .4
Permit Fee: Paid
INSPECTION: Chcc 'Number:
INITIAL .,_ ...::. (Sig)
FINAL
' (Sig)
APPROVED �► � r f " + µ (Date)
(Sig)
i INSPECTOR
,r"