HomeMy WebLinkAboutDrain Layers Permit 25 Deming Street TOWN OF SOUTH WI N DSOR
DEPARTMENT'V`V LLUTION CONTROL
South Windsor, Connecticut M
DRAIN LAYER'S PERMIT O 410
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform,
the work indicated below at 2 2Ws g
on the
side, betweenm&
rk
at premises owned
whose address is
and to 7[ Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with MO {1) Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGA, INDUSTRIAL WASTES, OR
Connection will be made wit
r
Permit to be issued to Yam....
the holder of Drain Layer's License N '
�# Permit will expire oil, t.
The undersigned Drain Layer hereby agrees to all the terms and conditions set:forth on[he er and the reverse de
thereof. Applicant has received Town Permit No.
and/or C H D Permit No.
for street excavation.
SPECIAL CONDITION.SWIi
X.
Signed
Connection Charge Paid '.. Licensed Drain Layer
�*Tax�Csolle'c�tor� (Sig) Issued by
Permit Fee: Paid ,„
INSPECTION: 6s if
INITIAL
(Sig)
FINAL � '-1 j (Sig)
APPROVED (Date)
(Sig)
' INSPECT ,%.
N yJ v
ys�
IW'd
3' Y
.231
3
�b
1
a�
20
3
NOTES SOUTH WINDSOR POLLUTION CONTROL
G/ LOCATIONS,-
b OWNER S ,E c Ir
TYPE OF WORK
/a- DATE he PERMIT 6,10 PIPE46
_ INSTALLER ^A-Iyr u�y
INSPECTOR er_ DRAWN BY k°J