HomeMy WebLinkAboutDrain Layers Permit 606 Summer Hill Driv TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT NO 2499
� (F , 19
Pursuant to written applicatior, per ''-ssion is hereby gratvt d to th Licensed Drain Layer named herein to perform
the work indicated below at �%tt ✓Yl i`y1�`tJ �` �
on the
side, between —p�
at premises owned by kaj - � )ZU_P.t) �8n � '' •Y�
whose address is
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 SEWAGE ( ), INDUSTRIAL.WASTES .( ), OR
Connection will be made with
• ,t
Permit to be issued to
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 Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
AonAi!9ha(r"gPe Pai Licensed Drain Layer
A' APh Issued by
116 Collector `
Permit Fee: Paid $ 16, (p $Z
INSPECTION: Check Number:
INITIAL -(Sig)
AL (Sig)
VED (Date)
(Sig)
INSPECTOR