HomeMy WebLinkAboutDrain Layers Permit 353 to 659 John Fitc TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N� 14
t , 19-41
1!
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below att on the
side, between a _
at premises owned by
whose address is d
and to If Lay House Drain, _Repair House Drain, Lay Main, Other
for #* a,&•"t A occupancy of use,
with ! F+ i1y Units, with acres.
Type of Sewage to be connected under this permit:
UNITARY SEWAGE INDUSTRIAL WASTES, OR
Permit to be issued to — hGoa 4 -41
the holder of Drain Layer's License No.b& , *�_. Permit will expire on ,: 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit alid the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid $ Licensed Drain Layer
(Sig) Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED , F+t` (Date)
----
. (Sig) _ - _ _ _
INSPECTOR