HomeMy WebLinkAboutDrain Layers Permit 229 Oak Street (2) TOWN OF SOUT'" WI N DSOR
DEPARTMENT OF POUJ IKON CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT 'N? 432
� 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 0A on the
side, between 1* rr!"lirr ...
at premises owned by :aw—f
.whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for 2L—.A occupancy or use,
with1 Family Units, with acres.
r Type of Sewage to be connected under this permit:
SANITARY SEWAGJ;, INDUSTRIAL WASTES, OR
Connection will be made with NU 120h (Q .*jdjKS-
Permit to be issued to' '
the holder of Drain Layer's:License No. "+ I Permit will expire on26im 1& 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the pe mi a the reverse sid€«�
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL .CONDITIONS. AWW oft ! ad badW
Signed"f 'I?A
Connection Charge Paidrwrjp Licensed'Dral aye'x'-
'i XW
(Sig) Issued by As ��elltitl�e►�ja„�
Tax Collector
Permit Fee: Paid
INSPECTION:
INITIAL ` (Sig)
FINAL (Sig)
APPROVED l __ - 1 (Date)
(Sig)
x INSPECTOR