HomeMy WebLinkAboutDrain Layers Permit 69 Pine Knob Drive TOWN OF S0 TH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT O 487
23
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ R"b fin*. on the
mob side, between Ann it Wj� fts
at premises owned by •■•
whose address is SMAN
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for 1 occupancy or use,
wit~ 0) Family Units, with acres'.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with alb! "A (16)
Permit to be issued to
the holder of Drain Layer's License No. "ObIle Permit will expire on_ I
now
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 VNIft ISM $0 IOWi M fti1 r tr
Signed r. %�'. ✓� ..:� ,
Connection Charge Paid Licensed Drain Layer
V"*. X*. (Sig) Issued by 11102A Aw X 0144AWa!�
Tax Collector
Permit Fee: Paid $
INSPECTION: 0 =
INITIAL j1 �'�"// �s /lil'J (Sig)
FINAL r, %•,�/> i ' �i ir7 (Sig)
r
APPROVED i>i /l; ifs (Date)
INSPECTOR