HomeMy WebLinkAboutDrain Layers Permit 489 Clark Street TOWN OF SOUTH Wi N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut List No.: _
1
DRAIN LAYER'S PERMIT 545
Ajjri,1 26 219 74
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_48,A G1_r�� t k� on the
eei side, betweenTIent VaIL ar,I)emia<rr .`'+ o
at premises owned by Zrk� k{'�+++*+" f,
whose address ise
and to X - Lay House Drain, Repair House Drain, -Lay-Main, Other ,
for occupancy or use,
with tiitE'< Family Vnits, with acres.
Type of.Sewage,to be connected under this permit:
SANITARY SEWAGE INDUSTRIAL WASTES . FOR )
Connection will be made with six (6) iseh tk*Aical k48141 ►l�tie jilt
Permit to be issued to
the holder of Drain`Layer's License No., "ka!2jC A8 Permit will expire on tt b 2� 19
The undersigned Drain Layer hereby agrees to all the terms"end 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 } i >a� ` ,. t mX
Signed,.
Connection Charge Paid 4/25/7+ Licensed Drain Layer '
Per* F. Hosiz Issued by Ralpk A. ::tarkweatkitr Jr.
Tag Collector
Permit Fee:. Paid $ _ 15.00
INSPECTION: Check Number:
INITIAL (Sig).
FINAL (Sig)
` APPROVED (Date).
(Sig)
INSPECTOR
i