HomeMy WebLinkAboutDrain Layers Permit 175 Pine Tree Lane (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF*PO'L4TION CONTROL
South Windsor, Connecticut
8-6M49
DRAIN LAYER'S PERMIT N° 343
44 Jay , 19
.�►.y sN�; 28'Y�
Pursuan written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at " 1 L[ on the
rr�lt side, between-
at remises owned by NAVAA_
whose address is f111il1i
and to 2 Lay House Drain, Repair House Drain, Lay Main, Other
for At . occupancy or use,
with (I) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGII INDUSTRIAL WASTES, OR
Connection will be made with �Iflli�fisli ��
Permit to be issued to A* lama
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 an the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS 214ft AjM 40 pfte �
X VW 01141" ad sift t aM at wit tlo■L!.
Signed
Connection Charge Paid 04" Licensed Drain Layer
aw X0 (Sig) Issued by
Tax Collector
Permit Fee:�Paid $i. _
INSPECTION:
INITIAL r (Sig)
FINAL PS (Sig)
APPROVED (Date)
(Sig)
INSPECTOR