HomeMy WebLinkAboutDrain Layers Permit 14 Norton Lane (2) TOWN OF S. UT - VV1 N DSOR �
DEPARTM
ENT,,,;Qr.}POLLUTION 'CONTROL gip No.:
South Windsor, Connecticut
List.No.
DRAIN LAYER'S PERMIT ?
528
` X"" 15 ' 19 74
Pursuant to written applicatior, permission\ hereby,granted to the Licensed Drain Layer named herein to-perform
the work indicated below at 94 X614 M zal on the
east side,betweenbosun& ft-
at premises owned by A214M Lair
whose.address is i
and to ,X Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
with Family Units, with (acres.
Type of Sewage to be connecter}under this permit:
SANITARY SEWAGE O, INDI'_TSTRIAL WASTES
Connection will be made with 1# I-m* * DLIM
Permit to be issued to- .John"Lmnmk '
the holder of Drain Layer's License No. se' Permit will expire on N" 19
-74
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.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid Licensed Drain Layer
'a� S Issued by ] A* a� !/
Tax Collector
Permit knee:. Paid $
INSPECTION: Check Number:
INITIAL `h � 4,41 � 7 s (Sig)
FINAL' (Sig)
APPROVED a (Date)
(Sig)
toe INSPECTOR