HomeMy WebLinkAboutDrain Layers Permit 660 Governors Highwa (2) TOWN OF SYH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL 0#
B/P No.:
90
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT xp 5i2
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between fto
at premises owned byI&MIA
whose address is
and to I Lay House Drain, Repair House Drain, Lay-Main, Other ,
for ice' . occupancy or use,
with ft* W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with MX twb (6) quo"* miss
Permit to be issued to Jobs V*
the holder of Drain Layer's License No._ Permit willexpire on ..Ale 1974 .
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 UU
Signed
Connection Charge Paid -Licensed Drain Layer
Issued by x.s 1d ' ► ,� 3 V
Tax Collector
Permit Fee:. Paid $ _
INSPECTION: Check Number: j
INITIAL - t (Sig)
FINAL r .- fT (Sig)
APPROVED 'Fd (Date)
� "'.." �..�_= Sig) •
INSPECTOR