HomeMy WebLinkAboutDrain Layers Permit 415 John Fitch Boule (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut ���
List No.: _
i
DRAIN LAYER' S PERMIT N.O
2438
I9'f
Pursuant to written applicatior, permi ion is hereby granted to he icensed Drain Layer named herein to perform
the work indicated below at on the
ide, between
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
Signe
Connectio rge Paid Ilyfj/� //�'� License Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $ _1�_-
911141
INSPECTION: Check Number: Z Z
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR