HomeMy WebLinkAboutDrain Layers Permit 604 Summer Hill Driv TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N? 2641
Pursuant to written applicati/or,Mpersion is hereby ranted o the Licensed Drain Layer named herein to perform
" the work indicated below at "ii'�'�/ � f on the
side, bet en
at premises owned by w
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 ( j, 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
Connection Charge Paid 1/Dd -66` Licensed Drain Layer
Issued by
-��Tax Collector /
Permit Fee:. Paid $
INSPECTION: Check Number: '7Yd
- INITIAL - (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
2