HomeMy WebLinkAboutDrain Layers Permit 1508 Summer Hill Dri TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT NO 2597
lgS z-
Pursuant to written applicatior, permission is hereb granted to the Lic 'nsed Drain Layer named herein to perform
the work indicated below at � 7 on the
side, betwee
at premises owned by
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
j 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
Connectio rge Paid 7� Z— Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $ _45 - 7 Z--
INSPECTION: Check Number: �(
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR