HomeMy WebLinkAboutDrain Layers Permit Goodhill Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OFF R®L4UT10N CONTROL
South Windsor, Connecticut r_. t
0 e) .� --� - .- 7
DRAIN LAYER'S PERMIT
N.O
475
04 , I
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_T,!k A CkgA" jjj on the
side, between_BMSdUt & 0*1Md
at premises owned by *rt WPM
whose address is NwAutft
and to X 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 SEWAGO, INDUSTRIAL WASTES, OR
Connection will be made with SP� pip
Permit to be issued to JAW `
the holder of Drain Layer's License No. Permit will expire on .' 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 NA" and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS go"* er#$ must bo W4 of Rudwo
r
Signed
Connection Charge Paid $10 1&�M Licensed Drain Layer o
PW* RAW (Sig) Issued by A A. Ar 1" " Zia
Tax Collector
Permit Fee: Paid $ ,
INSPECTION:
INITIAL :' '_- t ,-3� tc f'�7 (Sig)
FINAL -2 (Sig)
APPROVED ,r•'' - (Date)
` (Sig)
INSPECTOR