HomeMy WebLinkAboutDrain Layers Permit 249 Oak Street (2) \TOWN OF,, S60TH WI N DSOR '
DEPARTMENT Of POLLUTION CONTROL
South Windsot "Connecticut
h *40%ft
DRAIN LAYER'S PERMIT NO 285
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
` the work indicated below at J , t ► on the
side, between
at premises owned by "_ #AL
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with rz `' `` Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGF INDUSTRIAL WASTES,OR
Connection will be made with
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
Signed
Connection Charge Paid 40 IL31WI Licensed Drain Layer
-+ Ali& (Sig) Issued by
Tag Collector I
Permit Fee: Paid $
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED �.R &KOJAt 010#3 (Date)
8.14A jii . (Sig)
'INSPECTOR