HomeMy WebLinkAboutDrain Layers Permit 74 Edgewood Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 282-8
, 19U�
Pursuant to written applicatior, pe is ion is hereby gran Zdd to the Licensed Drain Layer named herein to perform
the work indicated below at —� y- on the
side, between
at premises"owned by PLLZ4 c _,,(,L 1
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
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 permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Cokieection Charge PaidIf
Licensed Drain Layer
J4 L,A -A —C a A
Issued by
- Tax oHector
Permit Fee:. Paid $ /�5' a
INSPECTION: Check Number: y
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR