HomeMy WebLinkAboutDrain Layers Permit Lot 6 Griffin Road r 79— SOUTH WINDSOR
DEPARTMENT OPOLL TR01,
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 2739
/A/ , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain La er named herein to perform
the work indicated below at 013 411a lot-
on the
side, betwe
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.
i
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
Signed
Connection Ch Paid i /If 3 Licensed Drain Layer
Issued by
ax Collector
Permit Fee:. Paid
INSPECTION: Check Number: �7s
INITIAL (Sig)
_ -- - - --- FINAL
(Sig)
APPROVED (Date)
(Sig)
INSPECTOR