HomeMy WebLinkAboutDrain Layers Permit 163 Deming Street TOVN�,q SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut J
List No.: - S
DRAIN LAYER'S PERMIT
0 849 Y
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at' 163 DsmmUg Str"t Mewhootor '
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),:INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with 'SIX Ineft plastip Pipe
Permit to be issued to FAwrdSqup or
the holder of Drain Layer's License No.W*9 mil ' 19
Y Permit will expire on
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 Paid 4y Licensed Drain Layer
Issued by i€-ns^k J. Sam
Tax'Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL 3 f (Sig)
FINAL (Sig)
APPROVED— �t t (Date)
a =' (Sig)
IN$PEC OR