HomeMy WebLinkAboutDrain Layers Permit 319 Oak Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
_
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT NO 2833
�3 , 19
Pursuant to written applicatior, p a e
permission is by granted to the Licensed Drain Layer named herein to perform
Othe work indicated below at on the
side,.between
at premises owned by—ILL
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), 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
J Signed
Connection Charge Paid , QQ. dQ 313 S-j Licensed Drain Layer
Issued by
T 1 t _,e--4�—k�
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)