HomeMy WebLinkAboutDrain Layers Permit 460 Felt Road (2) TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
_
South Windsor, Connecticut B/P No.:
List No.: _
` DRAIN LAYER'S PERMIT
N° 531
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 16t ' oA
West on the
side, between
at premises owned by " K„'+
whose address is
X
and to _Lay House Drain, Repair House Drain, Lay-Main, Other
for
ki 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
:sv l`g e
Permit to be issued to
the holder of Drain Layers License No. Permit will expire on I ?9 1914
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
Connection Charge Paid { i Licensed Drain Layer
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)