HomeMy WebLinkAboutDrain Layers Permit 133 Oak Street (2) TOWN OF SOUTH , WINDSOR
DEPARTMENT OFF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT O 418
Not 17 , 1�9
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_
at premises owned by J�f<�4�' X7 , K I/i.,in j'i"4—
whose address is
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for 111dioudoccupancy or use,
with aw 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGJ, INDUSTRIAL WASTES, OR
Connection will be made with I&* � !!
Permit to be issued to Aft"-As 1�
the holder of Drain Layer's License NNEA" Permit will expire on
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 : mad b
Signed
Connection Charge Paid 176" Licensed Drain Layer —
(Sig) Issued by ♦, d=
Tax Collector
P it e� i
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR