HomeMy WebLinkAboutDrain Layers Permit 74 Brian Road (2) TOWN OF ,SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B_60247
South Windsor, Connecticut ,.
�s!s DRAIN LAYER'S PERMIT N0 370
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at wo on the
NOVO side, between
at premises owned by ll�wfe'>r;iu
whose address is
and to X 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:
f SANITARY SEWAGI), INDUSTRIAL WASTES, OR
Connection will be made with 111� I� e �
Permit to be issued to
the holder of Drain Layer's License No.`tn. �� Permit will expire one 1
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse st
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS ' 1Mf s ' '01114 bOOM ffyUg
. Signed
Connection Charge Paid' Licensed Drain Layer
0 X# (Sig) Issued by ftU* A* ' �II•s
Tax Collector
PeimitFee- Paid 0500
INSPECTION: {
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
U (Sig)
__._ INSPECTOR