HomeMy WebLinkAboutDrain Layers Permit 665 Nutmeg Road (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
7 South Windsor,'Connecticut
DRAIN LAYER'S PERMIT p t 4
1T. 103
—) 1929
Pursuant to written.application, permission is hereby granted to,the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between Its
at premises owned
whose address is P"or
and tojY=WLay House Drain, Repair House Drain, Lay Main; . Other
for
occupancy or use,
with Family Units, with 'fe 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 Vita
the holder of Drain Layer's License No. Permit will expire on_ 0 19
72
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 V .�;
Connection Charge Paid Licensed Drain Lay
l (Sig) Issued by MWVW V*
Tax Collector
Permit Fee: Paid
INSPECTION: Ir+rwarrrrvrw
INITIAL (Sig)
FINAL (Sig)
APPROVED 07 rVfW (Date)
IA
PECTOR (Sig)