HomeMy WebLinkAboutDrain Layers Permit 196 Margaret Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor,Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 2806
•
% ' 1960
Pursuant to written applicattior, petrmission is hereby granted
ddnto the Licensed Drain Layer named herein to perform
the work indicated below at L_o�1 114 'q& 1 I I J� � on the
side, between
at premises owned by J• �u f /L t}'� • l yt
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 ( j, 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
off ) Signed
Connection Charge Paid 00, no tl�c��l�� Licensed Drain Layer
),-t/j A-A -A V t
Issued by
f T x Coll���
GW Permit Fee: Paid $ �:'D0_
INSPECTION: Check Number: -L5 r f-r
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR