HomeMy WebLinkAboutDrain Layers Permit 155 Laurel Street (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF0POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT O 427
1200. '4! ' I973—
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
lDtt�side, between MIhad I3Ilk
at premises owned by
address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
'for naideaUn
occupancy or use,
with me ('�) Family Units, with acres.
Type of Sewage to be connected under this permit:
E SANITARY SEWAC*E, INDUSTRIAL WASTES, OR
Connection will be made with a zda
Permit to be issued to Alka A. Sir
the holder of Drain Layer's License NjOnV6188 Permit will expire on , 1
s
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the.reverse de
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS DftU Is"t t PMv 621XV4 Md bt 4141
UMk
Signed
Connection Charge Paid 09wJ96.73 Licensed Drain Layer
Tax Collector rtfy i�ze
(Sig) Issued by l A.. sudnaa '
-- '
Permit Fee: Paid �QO.
" INSPECTION: Cho&
INITIAL tom' (Sig)
FINAL (Sig)
- APPROVEDate
- - - - -- - ' (-Sig) -
- INSPECTOR.-- 1