HomeMy WebLinkAboutDrain Layers Permit 706 Griffin Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT NO 2739
, 19
Pursuant to written applicatiior, permission is hereby granted to the Licenyed Drain Layer named herein to perform
the work indicated below at on the
side, betwe _
at premises owned by �n'►y „y`
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
Signed
Connection Ch Paid QV— i 9 3 Licensed.Drain Layer
Issued by
ax Collector
Permit Fee: Paid $ //__ �?
INSPECTION: Check Number: �7 O
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)