HomeMy WebLinkAboutDrain Layers Permit 35 Goodhill Road (2) TOWN OF 504JTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 450
Otte. 12 73
, 19
Pursuant to written applic a mi Ede _prr * Drain Layer named herein to perform
the work indicated below at6a" Bmeut r. dr on the
side, betwe
owned by
whose address is
X
and to ---rj�dvarain, 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, z inch. j6j— W10 ASTES, OR
Connection will be made with
- T.N. Clapp
Permit to be issued to W9410589q Dec. 12 73
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 Per it No.
for street excavation. All ?u r a Wd At Pitain
SPECIAL CONDITIONS
r
Signed
Connection Charge Paid $ Licensed Drain aver
Per. E. Mmis � A., St�eteat r Jr.
(Sig) Issued by
Tax Collector
Permpps Fy„_:=
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR