HomeMy WebLinkAboutDrain Layers Permit 185 Governors Highwa TOWN OF SOUTH WINDSO
:. DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
TA at- ftubws
DRAIN LAYER' S PERMIT 111
- Y
08
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indi ted below at * l-#0 on the
side, between J4ft F%V* UKUVOO. ft$U SMt
at premises owned by w #
whose address is 20 SAUVW AVMUW. r
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
x
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with I V+ o
Permit to 6e issued to + sftftvd
the holder of Drain Layer's License No. Permit will:expire on J'� 19"d
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. .�••w
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid $ Licensed Drain Layer
(Sig) Issued by If
Ta'Collector
Permit Fee: Paid $ t
Y INSPECTION:
r:
INITIALOrA' (Sig)
FINALr (Sig)
APPROVED '" (Date)
(Sig)
PECTOR