Loading...
HomeMy WebLinkAboutDrain Layers Permit 21 Mark Drive ©ERAR'TME{VT OF; .POL�JTIOW CONTROk i , .. B/P No., ., fF youth Windsor, COnnecticut , List No.: _ � a DRAIN- LAYEA11 PERMIT 1 . 674 Or 19 Pursuant to writt n app icatior, permission is hereby granted to the Licensed Drain Layer named herein to`perform the work indicated:b: elow`at. 21I on the Wi *& side, between I aoytd '� at premises owned by J. . 2t& whose address is }� ' and to Lay House Drain, Repair House Drain, Lay,-Main, her for. ► L occupancy or use,, with } Family Units, with acres.' Type;of Sewage to.be,connected.under this,permit: SANITARY SEWAGE J j, INDUSTRIAL WASTES OR:( Connection.will be made with ` guest 4 'a Uvie"j, Permit to be is 0ed to ff Le' �µ the holder of Drain Layers L" hse No:_ '� Permit will expire on 19 The undersigned Drain"Lnyer hereby, agrees to all the terms a,hd conditions set forth on the permit a'nd.•the reverse side . thereof: Applicant has ieceived`Town Permit No. and/or C HD Permit No. for street escaveaion. SPECIAL.,CONDITIONS. Signed Connection Charge Paid Licensed Drain Layer Issued b 4R'Zlx'Lt;e� `• Tag Collector Permit.Fee•.;Baid .. INSPECTION: Check Number., + „ It INITIAL- (Sig) (Sig) , FINAL 4 (Sig) APPROVED (Date) 2 _- ado.��i+rwil� (Sig) r INSP 'OR