HomeMy WebLinkAboutDrain Layers Permit 25 Pine Tree Drive f_
TOWN - OF .§OUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut DRAIN LAYER'S PERMIT N? 384
M& 2 1923
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 25 ftlA on the
—awaft side, between L f f�rrirr
at premises owned by Zdamw 140A
whose address is a!
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 Oft Ifth (8) i
Permit to be issued to J*tA
the holder of Drain Layer's License Noll!"—Ift Permit will expire o4)6
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 110 II1, i1MMd
�r� Signed
Connection Charge Paid 1130-" Licensed Drain Layer
pwo X' fta" (Sig) Issued by#4l* A* S—
Tax Collector
Permit Fee: Paid
INSPECTION: f—I-
INITIAL (Sig)
FINAL (Sig)
APPROVED D&' �73 (Date)
(Sig)
INSPECTOR