HomeMy WebLinkAboutDrain Layers Permit 721 Deming Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT No 2960
2z- , 1g F_.3
Pursuant to written applicatior, permi lion is hereby granted t e Licensed Drain Layer named,herein to perform
the work indicated below at on the
side,between
at premises owned by G
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
:S
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 petmiCand the reverse side-
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connecti ge Paid _ ar?' Licensed Drain Layer
Issued by
tax Collector r
Permit Nee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR