HomeMy WebLinkAboutDrain Layers Permit 798 Main Street (2) •
TOWN OF SOUTH- WI-NDSOR - -- - --- -
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
Idst NUMbert 9-60085
am 219
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ' atmj on the
4"t side, between $ ksm Mild
at premises owned by
whose address is
and toX= Lay House Drain, Repair House Drain, Lay Main, Other
for ROL
occupancy or use,
with 4ft 0) Family Units; with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with ToGart
Permit to be issued to Nubou VOLUMOU 061110 #
the holder of Drain Layer's License No._ Permit will expire on s 19-22_
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
r
Si
Connection Charge Paid $ Licensed Dr in Layer
am r
(Sig) Issued by DOC
Tax Collector
Permit Fee: Paid $i%gyp
GbWk
INSPECTION: 1 4
INITIAL """".._-- (Sig)
g)
FINAL (Sig)
APPROVED 013 Uril 1972 (Date)
____ - - -- - -, - - ►-. - - - -- _ (Sig).
IN OR