HomeMy WebLinkAboutDrain Layers Permit 41 Goodhill Road TOWN OF SOUTH WINDSOR
DEPARTMENT � F.rPQLLUTION CONTROL
South Windsor Connecticut }�.
DRAIN LAYER'S PERMIT N? 462
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Eio 1 1 _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 2 on the
side, between
at premises owned by a 43 d
er
whose address is 9-0-40068
and to -V—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 be made with As gsi&
Permit to be issued to JA ya
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 MA040 Smor#s to bo at IIIK-Auft alms
Signed
Connection Charge Paid {' Licensed Drain L er
por_ ` 126 son" (Sig) Issued by Ao Aft"Wo"t" �
Tax Collector
Permit Fee: Paid $ #
INSPECTION: I „Y,,,, w.rwr.
INITIAL (Sig)
FINAL (Sig)
APPROVED -- (Date)
(Sig)
INSPECTOR