HomeMy WebLinkAboutDrain Layers Permit 49 Deepwood Drive (2) TOWN OF SOUTH Wi N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: 'c;.
DRAIN LAYER'S PERMITp 731
11/12/?4 ' 19
Pursuant to written applicatior, permission is hereby granted to the Licensed,Drain Layer named herein to"perform
the work indicated below at 49 Doop 1o" 1'0 on the
side, between
at premises owned by Pacul l�ian*
whose address is +BAN
and to Lay House Drain, Repair House Drain, Lay Main, - Other
for ) aidrttiwl_ occupancy or use,
with Ck* Family Units, with acres.
Type of-Sewage to be connected under this permit:
SANITARY SEWAGE (X j, INDUSTRIAL WASTES
Connection will be made with__ Sit Inch naati Fib
Permit to be issued to
+IEO1i A«
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
Signed
Connection Charge Paid14 L icensed Drain Layer" —
1 � J. with
- Issued by
Tax Collector
00
Permit Fee:. Paid $ 1g0
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR