HomeMy WebLinkAboutDrain Layers Permit 20 Imperial Drive " '10
;W4 OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL.
" South Windsor, Connecticut
IAM% 50f1E 540432
- DRAIN LAY-ER'SPERMIT U 18
19
Pursuant to"wxitte.n lion, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicatedelow at ` on the
side, between'
at premises owned b Qi
whose address is
and to —2-Lay House Drain, Repair House Drain, Lay Main, Other ,
for--�.-...�...r....R,�" occupancy"or use,
with NW O '. Family Units, with acres..,
Type of Sewage.to be connected under this permit:
!`�AI�iITARY-.CRmA(tF INDUSTRIAL WASTES; OR
_ Conneetion_will_be.made-with_ :-_ - 4Msk ft #1 '
Permit to be issued to Ird AM"* s
the holder of Drain Layer's License No. Permit will expire on 40 4MV 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 ' i
Signed J`
Connection Charge Pai t ! . .L n e rain Laye
z
(Sig) Issued by Ti_r
Tax Collector
Permit Fee: Paid $
INSPECTION:
INITIAL nrrr...► (Sig)
FINAL (Sig) —
APPROVED 1'1 !- I�Y (Date) ,, •z.-
(Sig)
CTOR
_ I _