HomeMy WebLinkAboutDrain Layers Permit 222 Oak Street (2) f
`OWN 0 -SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N0 423
• 11973
Pursuant to written application, permission is_hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at at* on the
side, between 1"ra &
at premises owned by_
CIA
whose address is ;
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use,
with WO Family Units, with acres.'
Type of Sewage to be connected under this permit:
(SANITARY SEWAGI, / INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. 7 - . Permit will expire on ftwo 1;
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 `pot M4 uwk= arms "a
Sig }/
Connection Charge Paid Licensed rain Lay r~
(Sig) Issued by%ft* A
Tax Collector
Permit Fee:
Paid $. ISOM
INSPECTION:
INITIAL (Sig)
FINAL : (Sig)
APPROVED ff, (Date)
(Sig)
INSPECTOR