HomeMy WebLinkAboutDrain Layers Permit 60 Deming Street .� OWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT `
263
19
Pursuant to written application, permission is hereby granted to the
Licensed Drain Layer named herein to perform
the work indicated below at
side, between on the
at premises owned by
whose address is
and to Lay House Drain,
Repair House Drain,for Lay Main, Other,with occupancy or use,
Family Units, with
Type of Sewage to be connected under this permit: acres..
'SANITARY SEWAGE)
INDUSTRIAL WASTES, OR
Connection will be made with "
Permit to be issued to
the holder of Drain Layer's License No.
too" Permit exire on The undersigned Drain Layer hereby agrees to all the terms and conditions s tlfort 19
h on the er thereof. Applicant has received Town Permit No. 1? mit andlth!!!�ver=se side
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS -
lANON
Connection Charge Paid Signed
Licensed Drain Layer
Tax collector------------(Sig) Issued by
INSPECTION:
INITIAL
FINAL (Sig)
APPROVED (Sig)
(Date)
"7NSPE TOR (Sig)