HomeMy WebLinkAboutDrain Layers Permit 072 Cadbury Lane -.,�.,,.,,,,+'o .� m_ .a"'rt� Ts'"" •�a-+-,.. wrap.��..�.��,�y..�. ."rp`.�..�.r _.'�''°'"'' k .. .
5i
TOWN' OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT 3108
, 19 � 3
Pursuant to written ap licatior, permissi {�is her by granted to the Licensed Drain Layer named herein to perform
the work indicated below at 6 L ) on the
side, bet en
at premises owned by
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
Co nection Charge Paid 6 61 O v Licensed Drain Layer
Issued by
Permit Fee:. Paid $ _
INSPECTION: Check Number: - 32e
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR