HomeMy WebLinkAboutDrain Layers Permit 32 Brian Road (2) TOWN OF SOUTH WI N DSOR
j DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT O 273
& t" 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ft Ulm on the
11111111111110 side, between
at premises owned bjl�
whose address is
and to ALLay 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 Now
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 Saft 0"me%-WMM MaKe f
Signed
Connection Charge Paid low9poorp Licensed Drain Layer
(Sig) Issued by 40*
Tax Collector
Permit_Fee: Paid
INSPECTION:
INITIAL �� (Sig)
FINAL � (Sig)
APPROVED / �7�7 (Date)
(Sig)
- _ INSPECTOR