HomeMy WebLinkAboutDrain Layers Permit 20 Mohegan Trail (2) TOWN OF 10kftH WINDSOR
DFF"TMENT OF -POLLUTION CONTROL_
B/P No.:
South Windsor, Connecticut
List.No.: 44
DRAIN LAYER'S PERMIT 608
1119W 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Ut 048 Ia on the
side, between
at premises owned by
whose address is OftRi& lots
and to +X Lay.House Drain, Repair House Drain, Lay Main, Other
for 916144MU4 - iupancy or use,
with Family Units,with'
Type of Sewage to be connected under this permit: ��
SANITARY SEWAGE `j, INDUSTRIAL WASTES :( ), OR
Connection will be made with 40 poll&*
Permit to be issued to 'Jags
the holder of Drain Layer's License No Permit will expire on 19, '
The undersigned Drain Layer hereby agrees to e pe
all the terms and conditions set forth on thr it and the reverse side'
' thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation. '
t
SPECIAL CONDITIONS71.
'
Signed.
Connection Charge Paid ,;Licensed ra aY ei
Issued by *.l& A* Aft
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: ,
INITIAL _ - t (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR