HomeMy WebLinkAboutDrain Layers Permit 141 Oak Street (2) TOWN OF '91 H WINDSOs k:
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
4' DRAIN LAYER'S PERMIT X? 412
1?3
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 141 0* 44+ on the
00* side, between
at premises owned bP-fft4" XWI*
whose address isr
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 SEWAG), INDUSTRIAL WASTES, OR
Connection will be made with IKX 1110h � VIM"" *30
Permit to be issued M610A*
ZOMM
the holder of Drain Layer's`License No" Permit will expire ojlove 13
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
t ereof. Applicant has received Town Permit No. and/or C H D Permit No.
f6r street excavation.
SPECIAL CONDITIONS " go Pftpt ftosh trtsir= MV1114 ta*
Signed
Connection Charge Paid " Licensed Drain Layer
> Mesi: 24uh Ar 9 fit.
(Sig) Issued by
Tax Collector
Permit Fee: Paid
INSPECTION:
INITIAL (Sig)
FINAL _ (Sig)
APPROVED (Date)
(Sig) -
INSPrECTb