HomeMy WebLinkAboutDrain Layers Permit 147 Laurel Street (2) TOWN OF SOUTH `VINDSOR
DEPARTMENT OF POLLUTION CONTROL
r L South Windsor, Connecticut
DRAIN LAYER'S PERMITp 36
Purluant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perf
orm
orm
the work indicated below at.
on the
-- side, between r
at premises owned by
whose address is
and to _Lay House Drain, Repair House Drain, La Main,n Other
fore '
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 Ado""'" Permit will expire o �
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on tie permit and the reverse Me
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
r
Connection Charge Paid
g ff*# Licensed Drain Layer
b
- Taa Collector- (Sig) Issued
Per ie:: Paid
INSPECTION: �Nr
INITIALS:f (Sig)
s
FINAL (Sig)
(Date)
as
-{Sig) -
- _ _ INSPECTOR