HomeMy WebLinkAboutDrain Layers Permit 088 Cadbury Lane o� "i".'�"�V''�,q.�ry :�.'.T�w;..6�+"_.'=4� ".� }".'�4`iT'C':., ���;IAR.i7T'n4'%�� �'ati'?l''a71i' � .�! F�.°5.� ,' �•i• ` tV. -i' �ti.�:
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL, B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 3 73
Pursuant to written appli t' r,2ssmission is ereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at C4 O on the
side, between
at premises owned by-- op'
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
Permit to be issued to
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 �.
Signed
Connect' harge Paid 141v v Licensed Drain Layer
�. Issued by
ax Collector
Permit Fee: Paid $/�_-7 / �G
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
3 �� Al\