HomeMy WebLinkAboutDrain Layers Permit 80 Jacques Lane fir. .p;e -yj�trri`f� .++r :;p '':5. ;{°a�i .'.�,' 4 +1Fs1�'"'•r;4�'?:' Ss- aY,' ,iv,' .4sh " Sa' ",�.was`'�i�.: 'Y'^xah' 9.''-�.ryp�. `, 'ys' *'. : .' ' ;..:
TOWN OF SOUTH WI N DSOR f7 T6 R
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.• _
DRAIN LAYER' S PERMIT O 3241
19 L
Pursuant to written applicati permission is he eby granted to the icensed Drain Layer named herein to perform
the work indicated below at y on the
side, between
at premises owned b J -
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
Connecti arge Paid 7� 6 f� Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
\ INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
- --- -
(Sig)-
INSPECTOR