HomeMy WebLinkAboutDrain Layers Permit 162 Garnet Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List.No.: _ -
DRAIN LAYER'S PERMIT O 3326
19f
Pursuant to written applicatior, permission is hereby granted o the Li sed Drain Layer named herein to perform
the work indicated below at on the
side, betw en '' p0
at premises owned by V
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
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 rge Paid �/ Licensed Drain Layer
issued - --
Tax Collector
Permit Fee: Paid $
I1�`ShE-CT`IONi
_ ._Check-Number:
--
INITIAL (Sig)
- FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
r
t f