HomeMy WebLinkAboutDrain Layers Permit 156 Oak Street (2) .. ....... . ..
t TOWN, OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 316
aka 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at f ► �' on the
40 side, between g4444 -poovot t4 Ell
atpremises owned by +
whose address is
and to _ Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with 'fit Family Units, with acres.
Type of Sewage to be connected under this permit:
ANITARY SEWAGF ` INDUSTRIAL WASTES, OR
Connection will be made with Po * ; 0 `
Permit to be issued to
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, 4pplicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid # * Licseii rain LayJer
it #s (Sig) Issued by * H. ,A*11
Tax Collector
Permit Fee: Paid I
INSPECTION: ' r
INITIAL (Sig)
FINAL (Sig)
APPROVED 0_ e - O .3 (Date)
(Sig)
INSPECTOR