HomeMy WebLinkAboutDrain Layers Permit 61 Kelly Road TOWN OF SOUTH WI N DSOR
DEPARTMEN'OOF POLLUTION CONTROL
South Windsor, Connecticut
--�C�3v 6
DRAIN LAYER' S PERMIT O 388
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at-61 IST no on the
side, between 14314V & L 1 I1116-
at premises owned b
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for , occupancy or use,
with 0) 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 J4 A*y
the holder of Drain Layer's License 1� " Permit will expire o
as
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the perm t and the reverse
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS 40" 90 Imadmill
Signed *I
Connection Charge Paid "' , Licensed Drain Layer
- i X0 Neaft (Sig) Issued by 1610 As 4101101110621hM
Tax Collector
P rmit F Paid $j5*0
/j I SPECTION:
INITIAL (Sig)
FINAL
APPROVED (Date)
_ (Sig) -
INSPECTOR