HomeMy WebLinkAboutDrain Layers Permit 125 High Street (2) 'TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
( B/P No.:
South Windsor, Connecticut " f
List.No.:
DRAIN LAYER';S PERMIT `p34
r! *M**% , 19 ' F
Pursuant to written a"licatior,'.permission is hereby granted,to the Licensed Drain Layer,named herein to perform
the work indicated below at
on the
W�side,
atpkemises:'owned by---
whose address is
and to jay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
MW O ;
with Family Units, with acres.
Type of Sewage to be,connected under.this permit:
SANITARY SEWAGE INDUSTRIAL WASHES OR ( )
-- Connection-will-be made-with--# 41,0111"
Permit to be issued'to +�" #
the holder of Dram 'Layer's LM.96 No. Permit'will expire on 19 .,
The undersigned Drain Layer hereby, agrees-60 all the terms`andi 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 excavktion.
SPECIAL.CONDITIONS
Signed' �r ,
Connection Charge Paid ,Licensed Drain.Layer
Ndvin Maw*
. ► Issued by J>
Tax Collector.
Permit Fee: Paid235
r
INSPECTION:`+ Check Number.
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
-., (Sig)
INSPECTOR