HomeMy WebLinkAboutDrain Layers Permit 14 Murielle Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut 9 List.No.:
DRAIN LAYER'S PERMIT N? 1245
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain yet n�ed erein to perform
the work indicated below at
4 / on the
side, between
at premises owned by CAGLE Z C/ � �O !1 '(/ Y
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. zi and/or C H D Pe t No.
for street excavation. //P v
PECIAL Crie, O . ON �U�" /V
e
z
Signed
Connection Charge Paid `U ensed Drain Lay
Issued by
Tax Collector _
Permit Fee:. Paid $ d b
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED —.2 (Date)
�.
INSPEC OR (Sig)