HomeMy WebLinkAboutDrain Layers Permit 271 Oak Street (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
L r QrJ
DRAIN LAYER'S PERMIT N? 345.
, 197
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below'at it" Q* S on the
ode, between 11SIA" BAV 20
at premises owned by 03114m 4 aft
whose address is 11
and tox Lay House Drain, Repair House Drain, Lay Main, Other ,
for
rr occupancy or use,
with 411111110 Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAG4, INDUSTRIAL WASTES, OR
Connection will be made with &*4111110 Moro
Permit to be issued to
OWN a
the holder of Drain Layer's License No. Permit will expire one 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 40 0"* io 1111IM1111111111M Oyu*
Signed
Connection Charge Paid Licensed Drain Layer
PW X+ (Sig) Issued by " N111W"$
Tax Collector
Permit Fee:�Paid
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED 3.s L L., 011 3 (Date)
i
(Sig)
INSPECTOR`