HomeMy WebLinkAboutDrain Layers Permit 85 Bourbon Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut _-
List No.: _
3
DRAIN LAYER',S PERMIT NO 3085
/ 6 , 19 63
Pursuant to written applicat or, perm iss'on is he(reby.g nted to the Licensed Drain Layer named herein to perform
the work indicated below at 8 /J�,l 475" '
on the
side, bqween
at premises owned by '5 '
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, _Other
for
occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 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
Z V3 Signed
Connection Charge Paid QQ a Q 1 / •83 Licensed Drain Layer
Issued by
T# Collector
Permit Fee:. Paid
INSPECTION: Check Number: KJ
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR _ — .