HomeMy WebLinkAboutDrain Layers Permit 54 Lewis Drive TOWN OF SOUTH WI NDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: 25-4
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMITO 872
t
f
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated.below at on the
r—Vth side, between- '-}'-.di. 1�wisF nws it t$
at premises owned b
whose address isw
and to _Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with m Family Units, with acres.
Type of Sewage to be connected under this permit:
` SANITARY SEWAGE (X), INDUSTRIAL WASTES :( ),'OR ( )
k'
Connection will be made with1
s
a
Permit to be issued to AeiLiulHii
the holder of Drain Layer's License No. Permit will expire on iO.At�. 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
t
Signed
Connection Charge Paid : Licensed 776 a
y
Issued by lWiiAZMIS�A-
Tax Collector
Permit Fee:. Paid $ 9 ..i
- - INSPECTION: Check Number:
INITIAL O�j -"�-� ""'.� (Sig)
FINAL
- APPROVED (Date)
r - -- - (Sig) — - -
- ---- _ . _�. •-- �INS ECTOR ... -
� arp
i
i