HomeMy WebLinkAboutDrain Layers Permit 35 Kent Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut f
List.No.:
DRAIN LAYER'S PERMIT NO 1632
, 19
.79
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between
at premises owned b
whose a77al
s
and to y House Drain, Repair House Drain La -Main Other
for occupancy or use,
with n 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
i
Signed
Connection Charge Paid Licensed Drain Layer
34 8 Issued by-
Tax Collector 44r�
C7 U
Permit Fee: Paid $ _
INSPECTION: Check Number:
INITIAL (Sig)
FINAL ig)
APPROVED
(Sig)
INSPECTOR r ,
LEONARD CONCRETE PIPE CO., INC.
375 MATHER ST. —HAMDEN, CONN. 06514— (203) 281-3366
1-
L
e
7 LJ
american
oncrete
ipe
ass ciation
MEMBER