HomeMy WebLinkAboutDrain Layers Permit 778 Clark Streeet TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut 1
£ list No.:
y D`RAIN LAYER'S PERMIT 536
.` 19- -
Pursuant to written applicatior, permission is hereby'granted to the Licensed Drain Layer,named herein to perform
the work indicated below at on the
side, between II �at premises owned by__ft
whose address is
and to Lay House Drain, Repair House Drain, —Lay-Slain, Other
forI
occupancy or use,
with Family Units,,wth . acres.
Type of Sewage to be connected under this.permit;
SANITARY SEWAGE ( j, INDUSTRIAL WASTES .( ), OR
Connection will be made with' <�
hermit to be issued to Aft
the holder)pf Drain Layer's License'-No. Permit will expire on_ 19
The undersigned Drain Layer hereby agrees m all 'the terms and�conditioris 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 CONDITIONSY
7Signec
Connection Charge Paid Licensed Drain Layer
A66-
Issued by ow
Tax Collector
Permit Fee:..Paid $
INSPECTION: Check Number:
INITIAL_ �` ' (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
it
SP4ECT0)t