HomeMy WebLinkAboutDrain Layers Permit 115 Pine Tree Lane TOWN OF 4S4711 WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor,:`Connecticut
DRAIN LAYER'S PERMIT N'O 249
It19
Pursuanf to wiitten application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at OR the
.. ; side, between_ t'>
at premises owned by a: -{'P'7. .'
.,,�.i��
whose address is r.
and to Lay House Drain, Repair House Drain, Lay Main, Other
for ' a'
occupancy or use,
with # 1 Family Units, with' acres.
° Type of Sewage to be connected under this permit:
4SANITARY SEWAGE, INDUSTRIAL WttSYh,9, OIL•,r
Connection will be made with el
i'
Permit to be issued to : - V( 44 , -`
the holder of Drain Layer's License No. Permit will expire on f;" 19 " .h !
The undersigned Drain Layer.hereby agrees to all the terms:and conditions set forth on the pernr-t and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit.No.
for street excavation. K.
-
f f
SPECIAL CONDITIONS " d
Signed w..
Connection Charge Paid'% ., Licensed Drain Layer
(Sig) Issued by t ,
Tax Collector '
Permit.Fee: Paid
INSPECTION: ,
INITIAL „.
(Sig) ., T
AL (Sig)
APPROVED ; (Date)
. . (Sig)
INSPECTOR