HomeMy WebLinkAboutDrain Layers Permit 140 Diane Drive (2) "TOWN OF SO4JT14 WINDSOR
DEPARTMENT Of 'POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 490
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 'AMA lXW4 pro" on the
side, between_ "
at premises owned by ! )
whose address is A MN1
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for &Okdmtw
occupancy or use,
with Oil! M Family Units, with
acres.
Type'of Sewage to be connected under this permit:
(SANITARY SEWAGI), INDUSTRIAL WASTES, OR
Connection will be made with OIX 13"
Permit to be issued to
the holder of Drain Layer's License No Y 34 Permit will expire on a 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 ' 28M t* PARP * O Md beeknu A
Connection Charge Paid $ Signed Licensed Train Layer
Pft. Z* (Sig) Issued by PA111h A, Sti RAT Jr*
Tax Collector
Permit Fee: Paid $ 1,5000
INSPECTION:
INITIAL (Sig)
FINAL // (Sig)
APPROVED (Date)
(Sig)
INSPECTOR