HomeMy WebLinkAboutDrain Layers Permit 75 Goodhill Road TOWN OF SOUTH I WI N DSOR
DEPARTMENT OF;oPQLLJ-JTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT ND 458
Wits 15 1973-
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at— 10A ru �w _ on the
side, between ftwuet st POW 0
at premises owned by &Aort Ww Vie'
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for 9 occupancy or use,
with GM Family Units, with acres.
Type of Sewage to be connected under this permit:
DANITARY SEWAGJ, INDUSTRIAL WASTES, OR
Connection will be made with >ItX
Permit`to be issued to ►
the holder of Drain Layer's License No. ' Permit will expire on ftet 19 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 I! l's to U" At XUdM A
SignedX A� r '
Connection Charge Paid $ Licens'e`d #Dra Layer
so Nods (Sig) Issued by PA A* S,tn%Vft r Aro'-""
Tax Collector
Permit Fee: Paid $
INSPECTION '"'"
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR