HomeMy WebLinkAboutDrain Layers Permit 38 Davewell Road fix+ '
TOWN : OF SOUTM Wl N DSOR
DEPARTMENT OF POLLUTION CQMTR L gip No.:
t South wlndsoi, Connecticut: .
List.Not;
DRAIN L.AYER'S .QER1I7 N 757
•
19
Pursuant to written application;permission is hereby granted•to the Licensed D;ain Layer uamed.herein to perform
the g!ork indc�ted..below at �4T.::� _ on the
r slue, between ,
at.premises oRrned by z ,
whose address Is..'
and to _Lay Mouse D ain, Repairliause Drain, Lay Main,> Other
for . os�co pane y oK use,
FnilqUnits,'w�th� acres
f
Type i*Sewage;to'be connected under this permit
3
SANITARY SBWAGE (: j, INIJ6TRALOR, j.
Cpi}n€ction will tie made .. :
' Permit to.be;tsued to
;' the holder of Drain•Laer's'�.iceinse No.'11rt«+ .` Permic will eXptt on, b 19
The.un der signed DMIr"Layer hereby agrees to all the>tefnis and conditions`set forth,on the permit and the reverao side
thereof. Applicant has redelved Town Permit,N0. and/or C H b Permit No`.
for street excavation.
s SPEC;NL CONDITIONS
r
Connection Chaige Paid icensed lin aver
Issued
r Tax Co1iector ._
Permit Fee. Paid $ *
INSPECTION• Check .N 11jer:
INITIALi '(Sig)
FINAL #1
'APPRQVED I:T� . (Date)
4
'l: � IN P TOR
-:jz
70
Bug
SOUTH, WIT-NDIO_. POLLi]T.low., ROB. .
OCATI�}N
0 N�R
TY . OF WORK..
r PERK ' P �
��T3PRCI'0Re