HomeMy WebLinkAboutDrain Layers Permit 8 Nutmeg Road (5) TOWN OF SOUTH WI N DSOR
s� DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut' List.No.; _
DRAIN LAYER'S PERMIT Np 1444
, 19 A:5
Pursuant to written applicatior, permis h b�ranted to he Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between
at premises owned by �} �/L' GJ7/VzjehI's
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 ( j, INDUSTRIAL_WASTES .( ), OR
Connection will be made with
Permit to be issued to _ T P 0y j6r1 DYI f
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. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
00,
Signe � y
Connection Charge Paid N�C- Licensed Drain Layer
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
SPECTOR
0004
f . i
/ fks.SolrZin
5 rrf
oho
i � a
x
R i
,a pie s•n ...•<vr�
/V U T/✓I EG /�OHD .
74
00
ADD/T�O/v To
t, .�YN.•9M/G CON 2—<20
�OUTi�/ vy/iy0 SO,Q� �OivNEC T/CUT , ,
�pf CONtif�.
m =
7 .�='Y'.�� st'c<ao 1-✓C-tt L�9i ff +�f �c„�•.