HomeMy WebLinkAboutDrain Layers Permit 21 Beechwood Lane TOWN OF SOUTH WI N DSOR �.:
DEPARTMENT OF POLLUTION-CONTROL
B/P No::
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMITp 7
08
19
Pursuant to written applicatior,permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at '" •°" Y ;, �1 Z�
■* �� on the
- side, between
at premises owned by
whose address is
and to + Lay House Drain, Repair House Drain, Lay.Main,: Other- et>
for #Q. occupancy or use,
with am 0 -.Family Units, with acres.
Type of Sewage to be connected'under this permit:
SANITARY SEWkE ( j, INDUSTRIAh"WASTES OR'( ) t
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License Na'- Permit will expire on 19 .
The undersigned Drain Layer hereby agrees'to all the''terms and conditions set forth on the permit andTh-e 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 - Licepsed Drain Layer ,
►s ' ! Issued by: 11a : 344410 Jj't
Tag Collector
Permit Fee: Paid $
INSPECTION: Check Number: 14040
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(SWINSPECTOR