HomeMy WebLinkAboutDrain Layers Permit 3F St Marc Circle r r ,
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor,Connecticut
List No.:
DRAIN LAYER'S PERMIT NO 2807
3� 119
Pursuant to written a/Ip��plicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at-(L L4 on the
side,between
At premises-owned byl 'LlrL C, .
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 ( ), 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
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
c� Signed
Connection Charge Paid qi2L oo q ;)6 18 Licensed Drain Layer
T4K CPII Issued by
Permit Fee: Paid $
INSPECTION Check`Numb r:_- _04
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR