HomeMy WebLinkAboutDrain Layers Permit 26 Brewster Road (2) 1TH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
or
DRAIN LAYER'S PERMIT No 344
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
RVL�side, between_ �,r, �r� r.. on the
at premises owned by
whose address is
and to _Lay House Drain, Repair House Drain,
Lay Main, Other
for ,
with occupancy or use,
Family Units, with
acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with MAM'dJU& Irtut
Permit to be issued to
the holder of Drain Layer's License No.
The undersigned Drain Layer hereby agrees to all the terms and conditions set lforth�on he ppeer it and�the reverse side
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS
------------
Connection Charge Paid . ., Signed.
Licensed rain ayer
�rS (Sig) Issued by
Tax Collector fi
P rmit F e: Paid $ _
INSPECTION: Mr�nwrn,w.u,M,,,
INITIAL
(Sig)
FINAL
(Sig)
APPROVED ,
�. (Date)
a
INSPECTOR (Sig)