HomeMy WebLinkAboutDrain Layers Permit 95 High Street (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: 5'"Z6
DRAIN LAYER'.S PERMIT K? 929
04 Se twmhj%p , 1925
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 9S (Lot 616bi ab Street on the
North side, between
at premises owned byMe
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for __ reel Ben i e1 occupancy or use,
with one Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES OR ( )
Connection will be made with six ineth V3sastln pine
nm
Permit to be issued to d Ta nnhur•ni
the holder of Drain Layer's License Nova= Permit will expire on net,*her 4 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 Charge Paid _ Licensed Drain Layer
- 1&44 Issued by M_ T mnthy Fri enel
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: _ f
INITIAL (Sig)
FINAL (Sig)
- -- APPROVED
(Date)
---- (Sig)
INSPECTOR