HomeMy WebLinkAboutDrain Layers Permit 728 Deming Street WN ` _Of; SOUTH WI N DSOR
GEkRTMENT OF "POLLUTION'CONTLtO A ,
B/P Na.:
South Windsor, Connecticut
.List.No.. F�
'' DRAIN LAYER'S PERMIT p 566
is ft -
Pursuant to written applicat or; permission is heteby,granted wthe Licensed Drain Layer named herein to perform
the work indicated::below at_ � -on the
side, between
at premises owned by
whose address is
and to ' Lay House Drain; Repair Hous Drain, Lay Main, her
for occupancy or use,
with' 7,FamiLY Units,`with acr
es.,
Type of Sewage to_be connected usiiier this permit;
SAN) ARY SEWAGE ( ` ), INDUSTRIAL WASTES`.(
Cocoon will be made with
Permit to be issued to" ;44 '
the holder of Drain Layer's License"ko. 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 CONDITIONSAtom, 111111101111"
7.
Signed, .,, `' sl ;
Connection Charge Paid Licensed Dram:Layer. ;
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
IhTSP C OR (Sig)