HomeMy WebLinkAboutDrain Layers Permit 51 Goodhill Road TOWN OF SOUTH WINDSOR
4 ed
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT O 460
19"
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1 ft4 + ; on the
side, between $ it 1 tAa
at premises owned by
whose address is 9" 1IE
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with W, Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with - PLO
Permit to be issued for
s
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 AU b0ft *0~10 L *t 9X VJ KJMWI
Signed_
Connection Charge Paid $' Licensed Drain Ljaye .
AIM* so NODU
(Sig) Issued by
Tax Collector
Permit Fee: Paid $ 1
54*
INSPECTION: j
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR