HomeMy WebLinkAboutDrain Layers Permit 505 Oakland Road TOWN
/ r J '� OR
D.-EPARTMRNT C 'POLLUTION CONTROL
B/P No;. --
South-:Windsor, Connecticut _
(' List No. _
DRAIN .LAYER'S .PERMIT
•w, To 983 .
l�9
P scant t .written apglicatior, permission is hereby-granted to the Licensed Drain Layer named herein to perform
the-work indicatod•below at7.nL•1 > r�r3
on the;.
MIU-0 side, between
at premises owned by , vfd �
f
whose address is
and to y
Y La House Drain Repair House Drain, Lay Main, Other
for
occapansy or use, -
with one Family Units:, with
1cr•Ps.
Type of Sewage to be connected under this permit:
SANITARY.SEWAGE (Z j, INDUSTRIAL WASTES
Connection-will be made with n
r3 in delft 0+
Permit'to be issued to ada Ar-
t -
' the holder of.Drain Layer's License No W9006Permit will expire on
The_undersi9.
gned Drain Layer hereby, agrees to all the terms and conditions set forth om the permit and the reversede
;si
thereof. Applicant-has received Town Permit No. and/or C H D Permit No.
for street.excavation:
SPECIAL. CONDITIONS • r { r an met mUMSlim h4 lotion 040VA4-
`.
Signed
Connection Charge Paid License. rain'Lay r
-_- — 1— Issued by _ WAkid OrTax Colector
Perri*t Fee:. Paid $ __%Xa
INSPECTION: Check Number: 2196
INIIIAL � 'YD ..---•-••,..,,,,,, *
,, (Sig)
t
FMAL
(Sig)•
APPROVED y
(Date)
INSPLCR (Sig):
P Yd