HomeMy WebLinkAboutDrain Layers Permit 80 Dawn Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N0 2333
Pursuant to written ppl'catior, per
/,m/i�sion is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below ataai 'yb. 9Za on the
side, between n
at premises owned bye ) /) 1-2
whose address is 1'
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 ( ), INDUSTRIAL WASTES ( ), OR
Connection will be made with
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
J r Signed
Connection Charge Paid� Licensed Drain Layer
Issued by
'-',Tax Collec or
Permit Fee: Paid $ _ �4U
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
s
- i
_ t
I
5'
l
i
1
NOTES SOUTH 14INDSOR POLLUTI N CONTROL
LOCATION
OWNER a
TYPE OF WORT
DATE -5'- _ l PERMITc
INSTALLER p U2. '6
INSPECTOR � ____DRAWN BY ��