HomeMy WebLinkAboutDrain Layers Permit 165 Pine Tree Lane TOWN OF SOUTH V I N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut (! CJ h
DRAIN LAYER'S PERMIT 'N0 396
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 10 PiM 2jee on the
side, between ATM
at premises owned by QNlOrt43!!�
whose address ism
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with W `Family Units, with acres.
'Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with XiX IF4b (6) Aalft0 IA PO
Permit to be issued to job&
the holder of Drain Layer's License N"-=61 Permit will expire on fiat. 3
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and she reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Md b t*= ! S
Signed _
Connection Charge Paid / Licensed Drain Layer
ftrezole"s 1� o(Sig) Issued by � A 8
Tax Collector
Permit Fee: Paid* 0
INSPECTION: �i.�.w
INITIAL (Sig)
FINAL VJ 7� (Sig)
APPROVED (Date)
INSPECTOR (Sig)