HomeMy WebLinkAboutDrain Layers Permit 350 Diane Drive (2) TOWN OF u$O TH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut a.2
S
DRAIN LAYER'S PERMIT N0 374
192L-
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at %I* on the
004 side, between '.. I�
at premises owned
whose address is "a maw 3*6
and to Lay House Drain, Repair House Drain, Lay Main, Other
for rudANAAA occupancy or use,
with *RAN 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with' a 11JO
Permit to be issued to John As
the holder of Drain Layer's License No." Permit will expire on**% 1973
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 DEW& 11M 110 =A = 8OUS %ft
Signed > • 1 {
Connection Charge Paid Licensed Drain Layer
Pl+lec 0 ft" (Sig) Issued by 201* A* sI
Tax Co
Permit Fee: Paid $ �3r►�
INSPECTION: """"'
INITIAL (Sig)
FINAL (Sig)
APPROVED -2;_ (Date)
(Sig)
INSPtC;T`OR4