HomeMy WebLinkAboutDrain Layers Permit 817 Pleasant Valley TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South.Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N? 2094
�= �y , 19s
Pursuant to written applicatior, permission is/h'er/eby g�ran/ted to the Licensed Drain Layer named herein to perform
work indicated below at'
on the
side, between.
at premises owned by 1 n h 0
se address is
to Lay House Drain; Repair House Drain, Lay Main, Other
occupancy or use,
h Family,Units, with acres.
Type of Sewage to be connected under this permit:
NITARY SEWAGE { ), INDUSTRIAL.WASTES :.( ), OR ( , )
nnection will be made with
Permit to be issued to
e holder of Dr?im Layer's License No.
Permit will expire on 19
e undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the,permit and the reverse side
ereof. Applicant has received Town Permit No. and/or C�H'� Permit No:
or street excavation.
SPECIAL CONDITIONS
Signed
7 ! Licensed Drain Layer
Conne tion targe'Paid 4
Issued by
Tag Collector 35 0 OW dd
Permit Nee: Paid5 _._
INSPECTION:
Check Number: yyc19
11
INITIAL (S g)1) S n�fwsK ,
FINAL (Sig
APPROVED (Date)
(Sig)
INSPECTOR