HomeMy WebLinkAboutDrain Layers Permit 150 Laurel Street (2) iS ;
01IYN OF SOUTH WtNDSOR
•4PARTMENT. OF POLLUTION. CONTROL. E
South Windsor;tonnecticut B/P No.: .: F
List.No.:
DRAIN LAYEIVS PERMIT
K? '5"si
Pursuant to wtittCen app icatiot, permi.ss"ion is`hereby granted to the Lieenhed Drain Layer gamed herein to perform
the work indicated below at +ilk
Qn the
side, betwg,e
at.:premis4�s awned by
whose adareds rs
an "to
`•L,ay House Drain, Regau:'HouserDrain, -Lay--Ma in
_other
for
a octupancy:or use,
with ;.Mir} Family Units, with t`
a;epes
Type Qf Se vale A'be coprleceg4cR c er this
." _ :.
P
SAN11VARY:>W*A'6E (11, INDUSTRIA 'WASTES.( ), OR
�'onnect`ion will`be made with
r
Permit tq)�issupq to
the holder of Drain`ta' ;'s License No. __ f
g Permit:�iiill expire on_ '� + ' ,,, • 19
The undersigned Drain Layer hereby agrees to all the terms and cond'ition4 set forth on the permit and the reverse side
thezeo. Applicant has received 'Town Permit No. 'and/or C H D Permit No.
i
for street escavarion."
SPECIAL- CONDITIONS 77
r i..
Sgne
Connection'ChargePaid icens �l. 'asn Layat'
For Issued ~
3'...
-Tag Collector - -
_ Permit- ?ee Paqd "$
_- INSPECTION. Gheck`Numbex
7
INITIAL
(Sig) t
FINAL "` i .
(Sig)
ArIVAV
3 (Date)
— - -- (SJg}
- - - PECTOR