HomeMy WebLinkAboutDrain Layers Permit 40 High Street (2) ,, TOWN OF` SOUTH WINDSOR
DEPARTMENT OF, POLLUTION CONTROL B/P No,:
South Windsor, Connecticut
List No. S4c).4e 44,
DRAIN LAYEWS, PERMIT.j � 643
• E 1
t r 9 _:
y. Pursuant to writteh applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the +.
side, between ' C<Ylll�r
at "re `s
whose address is
and tc Lay House Drain, Repair House Drain, Lay Main, Other ,
for_, occupancy or use,
4
with Family Units, with acres.
Type of Sewage to be connected under this"permit:
-019
SANITARY SEWAGE ), INDUSTRIAL,WASTES'.
•
r- ----Connection-:will be-mademith - - - - - - - -
f. r
Ae-
Permit to;be issued to
- the holder of Drain Layer's License'N Permit will expire 1
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.
SPEt-IAL CONDITIONS
Signed'
Connection Charge Paid Licensed Drain Layer
Issued'by
Tax Collector
Permit Fee:. Paid $ . .
INSP$CTION: " Check Number:
INITIAL t (Sig)
FINAL (Sig)
APPROVE
D7s (Date)
(Sig) - T
INSPECTOR .