HomeMy WebLinkAboutDrain Layers Permit 27 Laurel Street (2) � TWW Yw TOWN:.. OVSOUTH WINDSOR
DEPARTMENT OF POLLUTIONCONTROL
South Windsor,.Connec#icut
z 446,101
DRAIN LAYER'S PERMIT Q 299
11973
Pursuant to written app icatt'0' 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 by
-..use address fg
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 IN, VAST ES,..OR
Connection will be made with__rr9 r
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 " mow anift do
7
r '
Signed
Connection Charge Paid 1Licensed Drain Layer`
Tax_
Collector" (Sig) Issued by Il
P rmit F ,. Paid $ �
INSPECTION;
INITIAL (Sig)
FINAL (Sig)
(Date)
Y, INSPECTOR -- - --