HomeMy WebLinkAboutDrain Layers Permit 229 Benedict Drive (2) "t TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut C 0 3 13
DRAIN LAYER'S PERMIT ? 394
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at an Benwat Dro on the
BOVO side, between K*12Y & Mawr TA*
at premises owned by DOOM Kialbuy
whose address is smo
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for +ai
occupancy or use,
with 0" (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGLO,) INDUSTRIAL WASTES, OR
Connection will be made with Oft 12 (6) PIA*tia Pip
Permit to be issued to Job& A. ZMMA
the holder of Drain Layer's License No.W-9"X6188 Permit will expire on 04t* 27 ig 73
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 it t4 pmpt oft aft Md btektill !Nettle
Signed
Connection Charge Paid $ . 3 Licensed Drain Layer
P*lri No Men (Sig) Issued by Poll* A* At&Tk mth*r Jr*
Tax Collector
Permit Fee: Paid $ 1.*M
INSPECTION: hook I
ms
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR