HomeMy WebLinkAboutDrain Layers Permit 36 Glenwood Road SOWN OF SO Iuk H WlNDSOR
DEPARTMENT OF POLLUTION CONTROL ,,;
B/P No..
South Windsor, Connecticut
List No.: € .
DRAIN LAYER'S PERMIT,
p 560
, 19
74
Pursuant.to written-app licatior,.permission is hereby granted:to the Licensed Drain Layer named herein to perform
the work indicated below at AWO a oton the
swo side, between ,
at.premises owned by I#AMU
whose address is
and to -Lay House.Drain, Repair House Drain, Lay Main,, Other
for or
occupancy use,
with Family_.Units, with acres.
Type of Sewage to be•connected under this.pehnit
SANITARY SEWAGE ( ),.INDUSTRIAL WASTES .( ), OR
Connectin will be made with ice. a a
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 h
Connection Charge Paid Lice Drain Laye; >`
PW to VAKU
-------Tax
Issued by
Tax Collector
Permit Fee:. Paid
INSPECTION: Check Number
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
:SECTOR