HomeMy WebLinkAboutDrain Layers Permit 53 Brian Road (2) TOWN.. OF SQ.. f WI N DSOR
DEPARTMENT 0 RIJTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT O
N 332
119
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
t side, between
at premises owned by Mw
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 t tr&MW&
Permit to be issued to A- Isom
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
r3
thereof., Applicant has received'Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
ARE
1 _
Connection Charge Pais Signed r s-, J
Licensed Drain4�— Layer �
(Sig) Issued by
Tax Collector
Permit Fee: .-Paid $
INSPECTION: !F
INITIAL : 49W0*-- (Sig)
FINAL (Sig)
APPROVED (Date)
<. .:
(Sig)
INSPE '..