HomeMy WebLinkAboutDrain Layers Permit 78 Goodhill Road TOWN OF -SOUTH WI N DSOR
DEPARTMENT 6 OL�`TION CONTROL
South Windsor Connecticut "J
d
DRAIN LAYER'S PERMIT
O 456
040 Is 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at UA IF 2 ftOM11 IF Idol+ 3 r on the
side, between by""A L Pad s
at premises owned
whose address is NAW1knum
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with aw (I Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGt, INDUSTRIAL WASTES, OR
Connection will be made with1,2ftA -so��F
Permit to be issued to1Ihag
the holder of Drain Layer's License No. Permit will expire on lkm& 1! 1
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 WNW + ,
Signed e".14, i
Connection Charge Paid $ Lice sed Drain ayefr
P034 al NO"$ (Sig) Issued by PAU& A +&%2bMtft 41#
Tax Collector
Permit Fee: Paid $
INSPECTION:IF
.
INITIAL (Sig)
FINAL (Sig)
APPROVED '' (Date)
(Sig)
INSPECTOR