HomeMy WebLinkAboutDrain Layers Permit 1828 Main Street (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.:
DRAVWLAYEWIS RERMIT
N . 1909
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 0_Y on the
side, between
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
with Mjg Family Units, with
acres.
Type of Sewage ;to bbee onnected 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.2 f1l f Z-- . Permit will expire 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.
R
SPECIAL CONDITIONS
,17
O( —f/7? Signed L
Connection Charge Paid bo • 00 icens Drai ayer
Issued by
Tax Collector
i o Ly g^
Permit Fee: Paid $ _ /s` a
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date) �f'�e Z>7 C,
- i
INSP TOR