HomeMy WebLinkAboutDrain Layers Permit 233 Fairview Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT NO 2_862
19d'3
Pursuant to written applicatior, mission is hereby granted to the License Drain Layer named herein to perform
the work indicated below at �-r'7 �� 2 -�
on the
side,'between
at premises owned
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 ( . j, INDUSTRIAL WASTES ,( ), OR
Connection will be made with
h
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on I
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.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS
�� Signed
;Connect' arge Paid T(Z Sd 3 Licensed Drain Layer
Tax Collector Issued by
Permit Fee: Paid
I
INSPECTION: Check Number: 7 2- S
INITIAL (Sig)
FINAL
APPROVED (Date)
� INSPECTOR (Sig)
In