HomeMy WebLinkAboutDrain Layers Permit 425 Benedict Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
List No.: - ice
DRAIN LAYER'S PERMIT N.p
'714
Pursuant to written.applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at .:`'. ° =f �- on the
Matil side, between Fee 1t Ime aet3 e wze free '!'t
at premises owned by & 1 I X. & �sirpwj + s ftow
whose address is
and to j� Lay House Drain, Repair House Drain, Lay-Main, Other
for red ;izu t occupancy or use,
with t. F}) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE O, INDUSTRIAL WASTES .( ), OR
Connection will be made with .. is !I3 ,6m.0 i .• , t
diarth of ����•
Permit to be issued to 'Y €t tx IV Mitvaki
the holder of Drain Layer's License No._ '. . s ;a Permit will expire on r'i lZaa b4r 19 7"-.
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
-- le .pt , ;44Issued by
:� Y >; `Yx
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL /-6 t/1 (Sig)
APPROVED 3f Jer t ¢ (Date)
� `sfi �1t'�ce (Sig)
'' INSPECTOR
Q �
r�
b!
i