HomeMy WebLinkAboutDrain Layers Permit 18 Carey Lane (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT N0 2909
Pursuant to written applicator perm ssion is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the
side, betweennn,A,
at premises owned 91t-e—
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 ( j, INDUSTRIAL.WASTES ( ), OR ( )
Connection will be made with
- i
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
Conne n Charge PaidLicensed Drain Layer
Issued by
Tax Collector
Permit Fee Paid $ �_S 7
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR