HomeMy WebLinkAboutDrain Layers Permit 213 Kelly Road r
•OWN OF S ' I WINDSOR
DEPART MENT OF POLLUTION CONTROL
B/P No.: ; We
' South Windsor, Connecticut
List.No.
DRAIN LAYER'S PERMITp
03
a applica'tiot' ermissionis hereby granted to the Licensed Drain-,Layer nacmed"herein to perform ,.
the work indicated below at .. on the
side,.between , ;, `
at remises owned b -
whose address is
and to Lay House Drain, Repair House Draiq, Lay Main, Other,
for :, Qccupancy or use,
with Family"{IOits, with sees.
Type of Sewage fo<be conapapod,under this perngit;
SANITARY SEWAGE ( ), IN VSTRIAL WASTES"( ), Old
a
F ,r
-- Connection-will.be made with .� ";: , >
Permit tof issued-to
'
the holder of Drain'Layce§ License No:'` '� Permyit et+ill expiie on�� t 19
The undetsigned D airi Layer hereby a'giees to'all the terms'and conditio'hs set forth on the e"F'> a verse s d"e1�';
thereof. Applicant has received Town Permit Nod. and/or C H D Permit No
for street excava`tioh.
SPECIAL. OONDI�IONS 1
>t k` .d' r.�Yd'r ..�- r--�^-r—�. a +„+„•
i { �
. .. .::< r.7. _; .'.-_•fin ,, , '.. �'.'.
Connection Charge`Paid - 6• rr >t ; ice. D"r.' +�..
Issned by
Tax Collector
Peimit Fee:. Paid $
INSPECTION:` Chetlt:'Number:' _
INITIAL �D :,� a .wt (Sig)
FINAL
APPROVED
INSPECTUI .` ..: