HomeMy WebLinkAboutDrain Layers Permit 20 Pine Tree Lane (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut ` f") f
DRAIN LAYER'S PERMIT NO 428
"Oe 2473
' 19
Pursuant to written applic20ojjMnTSjWWereby granted to the Licensed Drain Layer named herein to perform,
.. the work indicated below ate a--"" & 6110113= No on the
side, betwe
at pies owned by
whose ad*ess is
and to ,¢rain, Repair House Drain, Lay Main, Other
for it occupancy or use,
with Family Units, with acres.
Type of Sev he to be connected under this permit:
SANITARY SEWAGE, ad 4AW& E6 'l r r .WASTES, OR
Connection will be made with
'SAL! rra+�+ri -
Permit to be issued to UMU
the holder of Drain Layer's License No. Permit will expire.on 19
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 LDernjitdror CI Perm' o.
for street excavation. r!
SPECIAL CONDITIONS
Signed
L'cens Drai Layer
Connecx,W gW Cl $ A♦
(Sig) Issued by
Tax Collector
Pere�«•lwrr�wwr
INSPECTION:
_. INITIAL (Sig)
f '
FINAL , ``. (Sig)
APPROVED (Date)
(Sig)
INSPECTOR