HomeMy WebLinkAboutDrain Layers Permit 629 Deming Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT N? 2439
/ , 19 6
Pursuant to written application,lp rmission is hereb granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between /
at premises owned
,
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 ( ), INDUSTRIAL WASTES ( ), OR { j
Connection will be made with
Permit to be issued to
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 permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
990� Signed
Connection Charge Paid Licensed Drain Layer
' Issued by
'Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: UG
7
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
TOWN OF SOUTH WI N DSOk
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut 3d �/�
List No.: _
DRAIN LAYER' S PERMIT N0 2439
19 dam/
Pursuant to written applicatior, p rmission is hereb granted to the Licensed Drain Layer named herein to perform
the work indicated below at P- on the
side, between
at premises owned by-l C AaIL
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 ( ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with
Permit to be issued to
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 permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
1 g9� Signed
Connection Charge Paid Licensed Drain Layer
Issued by
_Tax Collector
Permit Fee:. Paid $
INSPECTION• Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
IINSPECTOR