HomeMy WebLinkAboutDrain Layers Permit 173 Deming Street TOWN OFSOUTH 'WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _S6o756
DRAIN LAYER'S PERMITS 923
19
Pursuant to written a licatior pp permission is hereby granted to the Licensed Drain Layer named•herein to perform
the work indicated below at
- on the
side, between
at premises owned by
_ whose address is z 4.
and to _Lay House Drain, Repair House Drain, Lay Main Qchr
for ►
[ occupancy or use,
with
* Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES -( ); OR
Connection will be made.wiih .
Permit to be-issued to `„
the holder of Drain Layer's License No. Permit will empire on
The undersigned Drain Layer hereby, agrees to all the terms and conditions set forth on the permit acid e.
le�teyrse sip
thereof. Applicant has received Town Permit No. and/or CH D Permit No.
for street excavation:
SPECIAL CONDITIONS ,
Signed » .
Connection Charge Paid Licer4S`ed Drain La
- Issued by
Tax Collector
Permit Fee:. Paid $ f= _
INSPECTION: Check_'Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED—" (Date)
e
(Sig)
IN ECTOR