HomeMy WebLinkAboutDrain Layers Permit 98 Edgewood Drive TOWN OF-°-S(*TH WI N DSOR
DEPARTMENT OK POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT 195
f(� 19tL
Pursuant to written applicatior, perm sls-ion is hereby ranted to the Licensed.Drain Layer named herein to"perform
the work inducted below at
r� on the
side, between
at premisesr-*ned by-
whose address is
and to tay House brain, Repair"House Drain, ' ` LayMain,�, Other
for
occupancy or use,
with Family. Units, with acres:
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTIRIAL W 1 TES .( , ), R ( )
Connection will be made with A/� Y_.:
Permit to be,issued to
the holder of Drain Layer's License,No.. -$ , Permit will expire on 19
The undersigned Drain Layer her agrees to alL the.terms and conditions set1o'rth on the permit and the reverse side
thereof. Applicant has received Town Permit No. ' and/or t H D Permit No.Y
for street excavation.
SPECIAL 1�50NDITIONS ,
p Signed
Connection Chaige Paid' ( >` Licensed Drain Layer
.,,
Issued by
Tax Collector: _.
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
v
7�
a
�98
1
as ��Nl� UP
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION l 'G )��c) �I ,✓ c_._
OWNER
Tt"tr � 'ice
TYPE OF WORK
DATE PERMIT Z. PIPE k
INSTALLER _I f,
INSPECTOR DRAWN BY