HomeMy WebLinkAboutDrain Layers Permit 37 Laurel Street TO �OU
{ � 1 T1 l'1NDSORWN OF
;$ DEPARTMENT ;POLLUTION CONTROL
South Windsor, Connecticut
,
DRAIN LAYER'S PERMIT`
O227
t _ 19
Pursuant to written a '
pplication, permission is hereby granted to the Licensed drain Lager named herein to perform
' the work indicated below at
on the.
s _side, betweenteam
at premises owned bymfiA-A
.r
W.no
se address is
and to Lay House Drain, Repair House Drain,
Lay Main, Other
for .
with ,. ' 9ecupancy or;use,
Family Units, with
acfes
Type of Sewage to be connected under this permit:
,.-SANITARY SEWAGE INDUSTRIAL'WASTES OR
Connection will be made with
"1
Permit to be issued to
the holder.of Drain Layer's License'No.
Permit will expire on j _i9.The .undersigned Drain Layer hereby agrees to all the'terms and conditions set forth on the permi¢an 't a reverse si e'
thereof, Applicant has received Town Permit No.
for street excavation, and/or C H D Permit No.
SPECIAL CONDITIONS, lwwrqm
.*�l
*do-.Sao.Aw.40 ! # �k k ►.
i
Signed r Q
Connection Charge Paid ! � - '
Licensed Drain•Layer
Tax Collector (Sig) Issued by
1' mi Fy Paid INSPECTION: a rlrMer
INITIAL."""'"
(Sig)
FINAL (Sig)
am_so-
- "PRO
(Date),
r -(Sig)
IlVSP_,;CTOR