HomeMy WebLinkAboutDrain Layers Permit 706 Summer Hill Driv TOWN- OF � SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT No 2790
7 / , 19
Pursuant to written applicatior,,'permiss is hereby granted to e Lice sed Drain Layer named herein to perform
the work indicated below at �!J �✓Y�:�� ( ►/ on the
'XA4-t
ee
at premises o ne
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
`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
Conn n Charge Paid (J7i �� Licensed Drain Layer
Issued by
Tax Collector
Permit Fee:. Paid $ _�f
INSPECTION: Check Number.
INITIAL - (Sig) --
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR