HomeMy WebLinkAboutDrain Layers Permit 87 Gail Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 2386
19
Pursuant to written applicaatioor,, permission is hereby gra ted to the Licensed Drain Layer named herein to perform
the work indicated below at �02 ��-�>�?�-�-- on the
side, betty n
at premises owned by _
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 AI
L;dI--VL 'l
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
Connection ge Paid 07/ 6 Licensed Drain Layer
_ Issued.-b _ -
Tax Collector
Permit Fee:. Paid $ _-2�--
- --- ----_INSP_EC-TION:._-_ -Chc_._btumb=---
INITIAL (Sig)
FINAL (Sig)
PPROVED (Date)
—- --- - - (Sig)
INSPECTOR
N
- - -1�07-ES SOUTH WINDSOR POLLUTION CONFROL
LOC_ATIOi7
OWNER T /1'f
TYPE. 0: WORK C, ; S sd elet A r&l
DATE - l PERL41T � � (p PIPE
INSTAI?.FR C �lPr
INSPcC<'OR S • C.r DRAWN BY S C,.