HomeMy WebLinkAboutDrain Layers Permit 224 Margaret Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT N? 2884
19
Pursuant to written applicati/or, permission is hereby granted to three Licensed Drain La/ernamed herein to perform
the work indicated below at - L �/
on the
side, between /
at premises owned by V !�
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 CHD Permit No.
for street excavation.
SPECIAL CONDITIONS
d
SignedConnecti arge Paid /L f Licensed Drain Layer
M" Issued by
Tax Collector
Permit Nee: Paid _ )/7 1,r
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR