HomeMy WebLinkAboutDrain Layers Permit Pine Knob Drive JOWK OF SOUT44 WI N DSOR
DEPARTMENT OF POLLUTION-CONTROL gip No.:
South,Windsor, Connecticut
List.No.:
DRAIN 4AYER'S . PERMIT
1 ° 5'75
19
Pursuant to written applicatior; pebmissson is'hergb- granted twthe Licensed'Drain Layer named herein to-perform
the work indicated below at on the
si:}#, een J
- at premises owned by •.#. 4,:, l t
- t jam.
whose address is h^ :;.,. ,•.
f ..,
and to Lay House Drain, y Repair House Drain, Lay Main, Other ,
for occupancy or use,
with { F,arnily initsy with acres.
--
Type-of Sewage to be connected under this Hermit:
SANITARY SEWAGE ( j, INDUSTRIAL WASTPS '(: ), OIL ) i
Connection will be made with
14
Permit to be issued to.- 16
the holder of Drain'Layer's Licease No., PcrmiE will epee onA 19
The undersigned Drain Layer hereby agr`ee's to all the"tefnis and conditions'set forth od th tid•the'reverse s
thereof. Applicant has received Town Permit No. and/or C-H D Permit No.
for street excavation
SPECIAL CONDITIONS
Slghled
Connection Charge Paid _•;; r " V Licensed n,Layer
a� 3� .Issued..by----.•—�--.. �.. �..
Tax Collector
Permit._kee:'Paid
INSPECTION: Check'Namber-
—------ -INITIAL.
FINAL (Sig)
.`; APPROVED (Date)
"r (Sig)
INSPECTOR