HomeMy WebLinkAboutDrain Layers Permit 99 Kent Lane (2) TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT NO 2242
19
Pursuant to written applicatior, permission is hereby grante to the Licensed Drain Layer named herein to perform
the work indicated below at 1°�/ ��h P q
on the
side, between /�
at premises owned by T7 ) y 0
wh-
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
//// Signed
/onection Charge Paid Ydo — - Licensed Drain Layer
Issued by
YQ Tax Collector
D Permit Fee: Paid $
INSPECTION: Check Number: 66
INITIAL (Sig)
FINAL
(Sig)
APPROVED _ (Date)
(Sig)
INSPECTOR