HomeMy WebLinkAboutDrain Layers Permit 447 Nevers Road (2) r x
TOWN OF SOUTH WINDSOR'
DEPARTMENT' OP, POLLUTION CONTROL :.-*,:a.. . B/P No.: --
' South Wind;ot, ConnectPcut:
List.No.. St i" `
DRAIN LAYER'S PERMIT 7
3.9
19-- .
P rsuant to written applicatior, permission is hereby granted-.to-the Licensed DFaan Layet named:here n to per
the work indicated below at n on the
k
side, between _
- at premises owned by it
whose address is aim
and to Lay House Drain, Repair House Drain, Lay Main,.. Other
for Y� occupancy or use;
with. Family Units,.with acrgs.
Type, of.Sewage robe gonnected.under this permit:
SANITARY SEWAGE .X`,. INDUSTRIAL WASTES ' OR( ( j,
Connection:will be made with A" nook ow ft i
Permit'to be issued to r
the holder,of Drain Layer's License No. . N" Permit will expire of 19_
The.undersigned Drain Layer hereby agrees to all theterms and;eohditions set forth on.the.permit,and.the reverse side
-. thereof. Applicant has received Town Permit No. and/or C H D Permit No.
forr.,street excavation:
SPECIAL CONDITIONS
yRf.. :
Signed
Connection Charge Paid t, Licensed.Drain Layer� -
.
Issued by
Tax Collector
V. N Permit Fee:. Paid
INSPECTION: Check- Number:
INITIAL (Sig)
FINAL '. a
�. x (Sig)
APPROVED `` (Date)
st f
., N A. ,
(Si
INSPEC OR 8)