HomeMy WebLinkAboutDrain Layers Permit 240 Felt Road (3) TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
List No.: _
'
DRAIN LAYERS PERMIT
i 531
? 19 ?4
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at tweet
on the
side, between � �• ��.L�. ��k. �"�•,
T � -
at premises owned by " a " '•
99 '`iaA ter St H c €� ter
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
5<L ti1.1
for l,`.� 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 i Aj ?9 191
th
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and e reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid Licensed Drain Layer
Issued byJr.
Tax Collector
Permit Fee: Paid $ �"___
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR