HomeMy WebLinkAboutDrain Layers Permit Clark Street TOWN OF* SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT X? 470
Oct. 19 19 23 _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at CUrk At on the
8MOA side, between DWAR I Ad{mot. A -
at premises owned by_
whose address is 8ftft V12d Dr
and to T_Lay House Drain, Repair House Drain, Lay Main, Other
for
r*4dfttW '
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 410 JA4h (6) P2SAft0 pljM
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on DO** 17
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 1 ■IiUM i
Signed
Connection Charge Paid i ensed Drain Layer
hwe No i ft1Pb A. 8ttick�rwt#l�sr �!.
(Sig) Issued by
Tax Collector
Permit Fee: Paid $ 1.5.0
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR