HomeMy WebLinkAboutDrain Layers Permit 160 Pine Tree Lane (2) TOWN OF , qTH . WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 495
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_`_ Ift aft 2rat U, on the
Mt/! side, between L■dOU t 1 e to-
at premises owned by V Gla*
whose address is 111�
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAG4 INDUSTRIAL WASTES, OR
Connection will be made with an (6) puwui IKpr
Permit to be issued to
the holder of Drain Layer's License No."!M!"o Permit will expire on 44a 0 192
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 Yk"* E 1 001ftO tOk
Signed
Connection Charge Paid t/lw: Licensed Drain Layer
two 20 memo
(-Sig) Issued by_ As SO AM, afs' JU3pq
Tax Collector
Permit Fee: Paid 1
INSPECTION:
INITIAL '', ✓ �' >' �/_-, (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)