HomeMy WebLinkAboutDrain Layers Permit 131 Pine Knob Drive i
TOWN SOUTH WI N DSOR � h �.
DEPART!" OF POLLUTION CONTROL
South Windsor, Connecticut }`
DRAIW� tAYER'S PERMIT d
1T. 28
' 19
Pursuant to written application, permission is hereby granted to the Licensed'Drain Layer named herein to:perform
i` the work indicated below at on the
( side,.between
' at premises owned by NMI"
( .wkuse-address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
P
for
occupancy or use,
1
with Family Units, with + acres.
Type of Sewage:to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTE$,, OR f
Connection will be made with
Permit to be issued to ` t '
the'holder of Drain Layer's License No. }y '� . ,Permit will expire on � �;; 19..
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and side.
thereof.. Applicant has.received Town Permit No. and/or C H D Permit No.
for,street gscavation
SPECIAL CONDITIONS ft"Zow to 3 `>
' Signed
Connection Charge Paid Licensed•Drain.Layer
(Sig) Issued by
Ta`x Collector
Permit Fee: Paid $ ;
ft
INSPECTION: .
INITIAL
FINAL: f'' (Sig)
APPROVED' t ", (Date)
(Sig)
INSPECTOR