HomeMy WebLinkAboutDrain Layers Permit 132 Laurel Street (2) TOWN OF 4SOJ J 'H WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut J602 r
DRAIN LAYER'S PERMIT ° 425
19n_
Pursuant to written application, permission is hereby granted to the.Licensed Drain Layer named herein to perform
the work indicated below at 132 UUML 4% on the
side, between
at premises owned by
whose 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 SEWAG), tt INDUSTRIAL WASTES, OR
Connection will be made with To"o
Permit to be issued to
the holder of Drain Layer's License No. " Permit will expire on N ,
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 SRO" ft NOW i MA %XZ amMe
,
Signed
Connection Charge Paid *1 Licensed` rain Layer
(Sig) Issued by lk'30 AS
Tax Collector
Permit Fee: Paid
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
AppitOVED (Date)
(Sig)
--- INSPECTOR