HomeMy WebLinkAboutDrain Layers Permit Newberry Road (2) x.
f; TOWN OF
UI-I, WI N DSOR
: DEPARTMENT .OF'- POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: 'j^
�v t
f DRAIN LAYER',S PERMIT
K? 532
�a� *Uvb 29 ' 1974
Pursuant to-written applicatior, permission is hereby gr ekLiccqsed Drain Layer named herein to"perform
the work indicated•below ato on the
ItY"f� side, between a '
at premises owned by 1Ii !
whose address is #"f
and to Lay House Drain, Repair House Drain, Lay-Main,
for occupancy or use,
with Family Units, with., acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (ja INDUSTRIAL WASTES .( ), OR { )
Connection will be made with SWO ft"Ui aw
Permit'to be issued to �N► . s..
the holder of Drain Layer's License No. Permit will expire on 19'j '
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 C H D Permit No. too
for street excavation.
SPECIAL CONDITIONS
Signed...
Connection Charge Paid &VIA^ Licensed,Drain Layer
Issued by ft
Ph 'A* 8t"*V"thW JV6
Tax Collector
Permit Fee:. Paid $
' INSPECTION: Check Number:
INITIAL 4#AVOW (Sig)
FINAL ' 2 .ss:13 f r ',' (Sig)
APPROVED { (Date)
(Sig)
INSPECTOR