HomeMy WebLinkAboutDrain Layers Permit 285 Oak Street (2) TOWN OF ,SOUTH WI N DSOR
DEPARTMENT OF. POLLUTION`CONTROL Bhp No.:
South Windsor, Conne¢t:icut
List No..
DRAIN LAYER'S PERMIT 503
19 _
Pursuant to written applici tior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated.below at on the
4w side, between
at premises owned by
smog
whose address is
and.to Lay House Drain, Repair House Drain, -L ay,Main,- Other -
for. occupancy or use,
with, ,,i Family Units, with acres.
Type of Sewage to be connected under this.permit:
SANITARY SEWAGE ,
(X INDUSTRIAL WASTES .( ),'OR -
Connection will be made withft
,
Permit robe issued to
the holder of Drain'Layer's License No. t ' Permit will expire on > 1
The undersigned Draid Layer hereby, agre -terms and conditions set forth oh th and the reverse s
thereof. Applicant has teceived Town Permit No. and/or C H D Permit No.
for street excavation.':"
SPECIAL:'CONDITIONS. _
Signed'.
Connection Charge Paid Licensed Drain Layer
Iowa Issued by �$0 u.
Tag o lec or
Permit Fee:. Paid
INSPECTION: Check Number:
INITIAL• (Sig)
FINAL ., (Sig)
APPROVED' f•' r (Date)
(Sig)
INSPECTOR.