HomeMy WebLinkAboutDrain Layers Permit 1570 John Fitch Boul TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
`z South Windsor, Connecticut
DRAIN LAYER'S PERMIT w�n4� `
19-
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ''1A111111111k ?If1 on the
side, between
at premises owned by
whose address is
and to _Lay House Drain, Repair House Drain, _ Lay Main, Other ,
for " ar9! occupancy or use,
with A Units, with acres.
Type of Sewage to be connected under this permit:
VAGE3. -an INDUSTRIAL WASTES, OR
Connectiop will be made with SUN
I ,
`.:. Permit to be issued-to
the holder of Drain Layer's License No. MAIN 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
s
#. Signed
i Connection Charge Pair• Licensed Drain L er
(Sig) Issued by .
Tax Collector
-FerniitLee: Paid $
INSPECTION:
INITIAL r`';. (Sig)
FINAL (Sig)
APPROVED M (Date)
I (Sig)
�. INSYECTOR