HomeMy WebLinkAboutDrain Layers Permit 209 Oak Street (2) SO W I N DSOR
;• DEPARTMENT OF "POLLUTION CONTROL
t; South Windsor, Connecticut is
DRAIN LAYER'S PERMIT p 319
19- -
Pursuant to,written applicqLtion, permission istereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 'A"
- on the
6riva side
at premises owned by .'�.-
whose address is'" '
and to- _Lay House Drain, Repair House Drain, Lay Main,. Other ,
for occupancy or use,
.with Family Units,with acres.
tt Type of Sewage to be connected under this permit:
`SANITARY SEWAGE INDUSTRIAL WASTES, OR
Connection will be made.,with 'id16416A
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. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation. -
SPECIAL CONDITIONS '
f
Signed
Connection Charge Paid#10-6 ," Licenwo Drain Layer
ow so use" (Sig). Issued by ` IkOft +N:Ap#
Tax Collector
Permit Fee: Paid $ISM
INSPECTION:
INITIAL (Sig)
FINAL (Sig) . , ,
APPROVED (Date) +ti.
.. i.a (Jig)
I1 91JECTOIt �'