HomeMy WebLinkAboutDrain Layers Permit 783 Main Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT, p 289.8
19 ��
Pursuant to written applicatior, per ission is here y ranted to the Licensed Drain Layer named herein to perform
the work indicated below at�
on the
side, b tween
at premises owned bylk) t& I ��
whose address is
and to Lay House Drain, Repair House Drain,
Lay-Main, Other
for
with occupancy or use,
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 No.
The undersigned Drain Layer hereby agrees to all the terms and conditions s tlforth on the permit and the reverse side
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS
Clpnnection Charge Paid 00 cc) � �� Signed
���� Licensed Drain Layer
T x olYe t r Issued by'
Permit Nee:. Paid $ / - 0 6
- INSPECTION: Check Number: 7J `
INITIAL (Sig)
FINAL
(Sig)
APPROVED :(Date)
-(Sig) - -
INSP ECTOR