HomeMy WebLinkAboutDrain Layers Permit 268 Oak Street (4) � r F H wI N DSOR
TOWN o sVo
DEPARTMENT OF 'POLLUTION CONTROL
South,Windsor Connecticut
t
DRAIN LAYER'S PERMIT 0 244
Pursuant to written application, permissions hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at I$) on the
side, between !
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay Main:,: Other ,
for a OLIN occupancy or use,
t `
with am Family Fnits, with 'acres..
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) 4MUSTRIAL WASTES, OR .
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. P rmit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms a tions set forth on the permit and the reverse side
4
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS • v"
Signed
Connection Charge Paid Licensed Oiain Layer
t
9W (Sig) Issued by f
Tax Collector
PAX mit,F : Pa-'�$
Ohm
` INSPECTION:
IINITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR