HomeMy WebLinkAboutDrain Layers Permit 3D St Marc Circle . F.?o'" -�.. .. ,r -'^...n!r'."*r.emx.. ,. ..-•.ate...-.,n�q ..i. ._ _. .•p i- i. ,
TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT O 3089
. 2/ , 19 c�3
Pursuant to written application, permippion J9/is
/ hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at " � � L on the
side, between
at premises owned by
whose address is
and to Lay House Drain, 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 ( j, INDUSTRIAL WASTES OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 19
4
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
Signed
Connection Charge Paid 'y(T _ Licensed Drain Layer
issued y
Tax Collector
Permit Fee:. Paid $ n
INSPECTION: Cock Number.
INITIAL (Sig)
---- -- FINAL (Si )
APPROVED (Date)
-- - -_ _ - - - (Sig) -
INSPECTOR