HomeMy WebLinkAboutDrain Layers Permit 972 Main Street .
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: (At 7_S Z'
- .---,L,42-5 719
Pursuant to written applicatior, permission
�is,h^-ereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at on the
side, between,
at premises owned b �•
whose address is
and to Lay House Drain, ' Repair'House Dtaih,1, 'Lay Main, Othei
for occupancy or use,
with ,e Family Units, with acres.
Type of Sewage;to�be onnected under this permit:
SANITARY SEWAGE (/ ,:INDUSTRIAL WASTES (. ),,OR { )
Connection will be made wit
Permit to be issued to
the holder of Drain Layer's ]License No, Permit will'egpire"on 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
Conne ' Chaigi Paid` ' Li l7 5' Licensed Drain Layer
Issued by
Tax Collector
1y 76 Permit Fee:. Paid $ f� ' _ Z'S���'
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
-- - - - --.(Sig) _ _— - ----:--- -_
INSPECTOR