HomeMy WebLinkAboutDrain Layers Permit 151 Dogwood Lane TOWN OF. SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, lonnecticut
DRAIN LAYER'S PERMIT N? 431
24 1� _
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
AWNft side, between_0431M IL AbM fto
at premises owned by Kdomma Aa
whose address is �f
and to- Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAA, INDUSTRIAL WASTES, OR
Connection will be made w##
Permit to be issued to t
the holder of Drain Layer's License N"-= 3 Permit will expire * 24
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 DIU" UY*r 10 1 # f ba6=2 f
to*
Signed
Connection Charge Paid $ Licensed Drain Layer
) 'e (Sig) Issued by Falph Ae 4 Jr*
Tax Collector
Permit Fee: Paid.VAOO
INSPECTION:
INITIAL `} (Sig)
FINAL % , - ' (Sig)
APPROVED (Date)
(Sig)
'INSP' CTQ1 �: ^