HomeMy WebLinkAboutDrain Layers Permit 89 Pierce Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List.No.: _ 3 o
DRAIN LAYER'S PERMIT Np 2042
Pursuant to written applicatior, permission Jis hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at �c/ /'t�°r�c �d on the
side, between
at premises owned by -Fry-es)a r. 7l 1 i a
--whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with t .Family Units, with acres.
Type of Sewage to be connected under this permit.
SANITARY SEWAGE ( C,INDUSTRIAL WASTE ( /)��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
1l0 31
1///y1 �-o Signed
Connection Charge Paid 'YUU Licensed Drain Layer
r13s/
Issued by �C 7
Tax Collector
Permit Fee: Paid $ fS _
INSPECTION: Check Number: , 11
INITIAL (Sig) 61��o�v cc/
FINAL (Sig)
APPROVED (Date)
INSPECTOR