HomeMy WebLinkAboutDrain Layers Permit 132 Pine Knob Drive TOWN jOf SOUTH . WI N DSOR
DEPARTMENT OF OtION CONTROL
South Windsor, Connecticut—
DRAIN LAYER'S PERMIT NO 326
' 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at >- on the
side, between` .
at premises owned by Soft sa ftft '
whose address is 11111111111110
and to 4' Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use;
with 1 Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE),"I INDUSTRIAL WASTES, OR
Connection will be made with ' VOL
Permit to be issued to '
the holder of Drain Layer's License No. Permit will expire on
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.
MOM", lift
SPECIAL CONDITIONS ° AW
t.
Signed
Connection Charge Paid + Licensed Drain Layer
(Sig) Issued by aM
Tax Collector —'
Pramit F Paid $
fbft
INSPECTION:
INITIAL Amtn
FINAL (Sig)
APPROVED + (Date)
IAJAdy it do (Sig)
INSPECTft
N
A
I
1 ,y
NOTES SOUTH WINDSOR POLLUTION CONTROL
►Jo-r To scAt.E LOCATION 113. PjgAgE tiUag balvg
OWNER CwFrat4 J.
L \ TYPE OF WORKS C m!M ia✓
DATE o -13- T3 PERMIT Z!o PIPE "A as.
INSTALLER µs.,q -
6 = 9.0 INSPECTOR DRAWN BY