HomeMy WebLinkAboutDrain Layers Permit 230 Deming Street ' 1'011YN. 0F` SOUTH 1NI N DSOR
DEPARTMENT OF POLLUTION C.Ot!tTROL
B/P
South Windsor, Connecticut
List No.
DRAIN. LAYER'S PERM IT.
o _ S+J-Qo , 1g
Pur uant to written applicatior; permission is ere to the Licensed Drain Layer.=named herein to perform
the work indicated below at on the
side, betpvevn ..
at premises owned by ' a► -
whose address is
t Ai 9'.
and to Lay House Drain, Repair House Drain, Lay Main, Other
for ,
acupancy or use,
with .Family Units,^`with acres.
s Type of Sewage'to be connected under this permit:
SANITARY SEWAGI? .INDUSTRIAL WAS'1S ,
( ), OR ) i
Connection will'be;made with, - - f
Permit to be issued;to W - i
3
the holder of Drain Layer`s License No Permit will expire.on ' 19 _
The undersigned Drain Layer hereby•agrees to all the terms'and 'conditions set forth on the perm r and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No;
for street excavation.'
SPECIAL CONDITIONS JAA
r ,.
Sign
e
Connection Charge Paid - g Iicensed Drain Layer '
Issued by - ''.
Tag.Collector
LL
Permit Fee: Paid
-
INSPECTION: Check Number:
INITIAL .++ *�d << ► TSig)
FINAL : ':}.I► '� ,r'` ;••' Sig)
APPROVED N (Date)
n. ,. (Sig)
INSPECTOR
I
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION d
OWNER iv ,/crJ� Gil, �cr f.9e`o
TYPE OF WORK CeovE L T AL�
DATE r ,717,y PERMIT PIPE V,
INSTALLER
INSPECTOR DRAWN BY �Q s,