HomeMy WebLinkAboutDrain Layers Permit 1008 Main Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S 'PERMIT N0 2508
, 19 � Z
Pursuant to written applicatior,, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below_at ZG e 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 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. 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.
SPECIAL,CONDITIONS
0"U Signed
Connect arge Paid �� Licensed Drain Layer
Issued by
Aollector
Permit Fee: Paid $ _-- 2'
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR