HomeMy WebLinkAboutDrain Layers Permit 268 Oak Street (3) w•
T OF SOUTH_ WI N DSOR
DEPARTMENT OF POLLUTION CONTROL ` .
k South Windsor, Connecticut ►'
DRAIN LAYER' S PERMIT
O 21
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Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named liren to perform
the work indicated below at "� (0.48 l .S '
_ on the
L
Alcl r l' % - side, between ' /�:r J ti' '.�7 c'A �
at premises owned �Q 5A*�. -
whose address is r
and to ` F Lay.House Drain, Repair House Drain, Lay Main, Other
for t* r'n_. . ,^occupancy of use,
j with e Family Units, with acres..
` Type of Sewage to be.cognected.under this permit.
iwSANITARY SEWA6E INDUSTRIAL WASHES,.OR
Connection will be:made with y .,,. +;;'Zr
Permit to be issued to
„
the holder of Drain Layer's License No. Permit will expire on Jtn 19
The undersigned Drain Layer hereby agrees to all the: gins and conditions set forth on the permff and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation. ,
SPECIAL CONDITIONS ;... j t" ,. j r
Signed
Connection Charge Paid $ -" ; P • ' Licensed Drain Layer
s i w t (Sig) Issued by ,
Tax Collector j
Permit Fee: Paid $ / r'=f
'r
INSPECTIONc Y f
INITIAL (Sig)
FINAL (Sig)
. _ . APPROVED--1-1"4-1 (Date)
INSPECTOR;