HomeMy WebLinkAboutDrain Layers Permit 673 Deming Street � IiH WI N DSOR
'rE ARTMENT O ; ''bU;TION: CANTROL
i, . ,
-South Windsor, Connecticut
DRAIN;. LAYER'S .PER.MIT ` O 2 01
. .. .. .... ..
19
Pursuant to written application;permission is°.hereby granted Loth Is eased Dram Layer named
.herein to perform
the;work ir}dicated below'at
on the
Side- , between - 1 rY t_ �•s
at premises owned
whose address.is f
and to'_-Lay House Dram', Repair House Drain, Lay Main,. �. Other
i for'
- oecupiQy
r L .
with �Fafttily Units, with acres.:
Type of Sewage to be connected;under'this permit: ,
�i_SANITARY:SEWAGE 3
INDUSTRIAL WASTES.,,OR.
Connection will be made with '
Permit to be issued to'� �* � y
the hdlder: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 � � �
3'
.. e: .w. ,
Signed
g Licensed Drain Layer
Connection Charge Pa
(Sig) Issued by �•
Tag Collector x.
Permit F Paid $
INSPECTION:
INITIA
��.-�""'•_ss�"�. �, �,�1�� (Sig)
FINAL ,. (Sig)
APPROVED (Date)
(Sig)
INSPC Ok