HomeMy WebLinkAboutDrain Layers Permit 136 Garnet Lane TOWN OF"'SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.-
South Windsor, Connecticut
w List No.: _
DRAIN LAYER'S PERMITO 3 sl
/ (1 , 19
Pursuant to,written applicati,or, pe mi�ssQi-on is hereby granted to the icensed Drai Layer named herein to perform
the work-i"ndic'ated below at.. �� ' L `� i p on the
side, betwe
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 Se made with
' Peimit,to be issued to
the holder of Drain]dy-gr's License No. Permit will expire on 19
The uaa rsigned 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-es�avation..
SPECIAL :CONDITIONS-
41,
//,,.,i Signed
Connecti arge Paid f/�.. Y Licensed Drain Layer
Issued by
Tax Collector IQ
-^� C
Permit Fee: Paid $ /'_7 / if O
_�_IT�SPTIb�: - -check 1Vumber: --7_.3 . .
INITIAL (Sig)
FINAL _, . . (Sig)
APPROVED (Date)
(Sig)
INSPECTOR