HomeMy WebLinkAboutDrain Layers Permit 83 Deming Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List_,No.: t"`+ Y
DRAIN LAYER.'S PERMIT
K? 525
I9 74
Pursuant to'written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform
e work indicated.`below at--A � on the
'
side, between .
at premises-owned by
whose address is
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-(X j, INDUSTRIAL WASTES .( ,}; OR
Connection will be made wtho * ► ,,,,
Permit to be issued to
the holder of.Drain Layer's License No. • Permit will expire on_ " 19 W.
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.'
SPACIAL CONDITIONS _
, rr
g
Signed,.
Connection,Charge Paid , Licensed Dtam Layer -
Issued by i 80*
Tax Collector
Permit Fee:..Paid $
INSPECTION: Check Number:
�.f
INITIAL .!` fr' (Sig)
FINAL A ,` y (Sig)
r
APPROVED. (Date)
.• , „ (Sig) .
INSPECTOR