HomeMy WebLinkAboutDrain Layers Permit 108 High Tower Road TOWN OF SOUTH WIN DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut 3
List No.: _
DRAIN LAYER' S PERMIT No 2478
/ 3o
Pursuant to written applicatior, permi sion is hereby gran d to the Licensed Drain Layer named herein to perform
the work indicated below at Aft on the
side, betwee
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.
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 C e Paid Q7J a Y sed Drain Layer
Issued by
17 Collector
Permit Fee:. Paid $
INSPECTION: Check Number: Y17
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
r'
, V
17
i
i
DOTES SOUTH WINDSOR POLLUTION CONMOL
LOCATION D / o ,�J tY
TYPE OF WORK
DATE - -$/ P RM TZe PIPE 6. ?/ G
INSTALLER S v
INSPECTOR ' DRAWN By-