HomeMy WebLinkAboutDrain Layers Permit 249 Oakland Road (2) TOWN of sour V I N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No
South Windsor, Connecticut:
List No.: -4`4 0 7
DRAIN' LAYER"S PERMITS 529
, 19
Pursuant to written ap``pllicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at -on the
90 side, between
at premises owned
whose address is 3101ft 361
and to Lay House Drain, Repair House Drain, - Lay Main, Other amemew
.for occupancy or use,
with Family Units, with acres.
Type of Sewage,to be connected under this 'permit:
SANITARY SEWAGE ( j, INDUSTRIAL WASTES _( ), 'OR
Connection will be made with M
Perriiit to"be issued to
the holder of Drain-LayWs:License A. 'V0411110ftl Permit will expire on_ MW 8S 19 74 .
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 } e f,
Signed '
Connection Charge Paid "49- L erfsed Drain Layer
X6 Issued by *All* A* .Xt"*'W!W*VWrg Jr*
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: _
INITIAL (Sig)
FINAL ems' '. . `rr . ' ' ,:,) *� (Sig)
APPROVED �, s (Date)
(Sig)U4 PECTOR
y ,.