HomeMy WebLinkAboutDrain Layers Permit 709 Misty Meadow Lan TOWN OF SOUTH WI N DSOR
_ DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Conbecticut
List No.:fo _
DRAIN LAYER'S PERMIT d�tp 3 08
, 19 (I
Pursuant to written ap tior,,permission is hereby granted to the Licensed Drain Layer arced herein to perform
the work indicated below at —
on the
side, betwee4
i
at premis ned by__� m-ifld 4
whose address is i
and to Lay Hous\,�,Drain
epair House Drain, Lay Main, Other
for
with
occupancy or use,
Family Units, with acres.
Type of Sewage to be conn under this permit:
SANITARY SEWAGE .( ), INDU
AL.WASTES .( ), OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License
The undersigned Drain Layer hereby a Permit will expire on 19
Y s to all the terms and conditions'set forth,on the permit'and the reverse side •
thereof. Applicant has received Town r
for street excavation. mit No. and/or C H D Permit No.
SPECIAL CONDITIONS
Connec • barge Paid Signed
''Licensed-Drain Layer
Tax Collector Issued by
Permit Nee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR