HomeMy WebLinkAboutDrain Layers Permit 550 Governors Highwa (2) TOWN OF R
SOUTH W!N DSOR
DEPARTMENT- -OF -POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N? 419
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at W V*" t6 NiO907 on the
A*rft side, between . Rt, 30
at premises owned by Martin RuWok
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for reeidmtial occupancy or use,
with tip* (I) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAG�, INDUSTRIAL WASTES, OR
Connection will be made with ly"t 36131t PISSU t (6) *h
Permit to be issued to F #a
the holder of Drain Layer's License No11 . Permit will expire on11ey. 18 l
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 er to pnpv sod bttakrill moptj*
tpmk
Signed
Connection Charge Paid $()$,j7..,73 Licensed Drain Layer
Pore Ee M=U PolphA! 2Uxkwftthor Jrg
(Sig) Issued by
Tax Collector
Permit Fee: Paid $15#I
INSPECTION: Chftk
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR