HomeMy WebLinkAboutDrain Layers Permit 92 Brian Road TOWN` OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South.Windt or,tonnecticut
DRAIN° L AYE R'S PERMIT O 202
3o�3g �� ► ° 19 73
Pursuant to written application 'permission is hereby granted to the Licensed Drain Layer named herein to perform
the work.indicated below at _, : on the
side, i Nf t
at premises owned by _
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, a.ft-"Aa
Permit to be issued to VW
the holder of Drain Layer's License No. Permit will expire on 1 &jr 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— Of" A *
77
Signed`
Connection Charge"Paid MI-I ' Licensed Drain Yy
er
a* s i (Sig) Issued by AbMN"t in
Tag Collector
Permit Fee:�Pai;$'
INSPECTION:
INITIAL a. is #V (Sig)
FINAL' 44,! r . : , (Sig)
APPROVED 17 XW• 1973 (Date)
- _ . J.f (Sig)
rr' IN C-TOR