HomeMy WebLinkAboutDrain Layers Permit 219 Oak Street (Lot TOWN- F_.. `UTH 1 D SO R
, SQ W N
DEPARTMENT OF POLLUTION CONTROL
South.Windsor, ConnecticutIN
19 DRAIN LAYER'S PERMIT N'O 31
... .
119
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,
gt,premises owned by
whose address is
and to X 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 SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued to_' alga 11486"s
the holder of Drain Layer's License No., . Permit will expire o 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 I� r
S;'Atleti '
Connection Charge Paid V W'" L�iq,` ,,ensed Drain Layer
(Sig) Issued by P
Tax Collector
's Permit Fee: Paid $�
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED 10 6*&.V_ 11 (Date)
(Sig)
' INSPEC O