HomeMy WebLinkAboutDrain Layers Permit Peasley Drive betwee j
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 9
J 19 _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below ate ' &W;, " on the
$A #'A* side, between` A i �r �t '
f
at premises owned by
whose address is t a jr V^#.+t.and to Lay House Drain, Repair House Drain,, -Lay Main, Other
for .b"10tC occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
ANITAR S$WAG> INDUSTRIAL WASTES, OR
Connection.will be made with
Permit to be issued to AArxpe A."&"j
the holder of Drain Layer's License No.- Permit will expire on*U A. 19"L.
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 s
Signed
Connection Charge Paid $ Licensed Drain Layer
Tax Collector (Sig) Issued by Leywra
Permit Fee: Paid $
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED A& jj�Ug I!k&qb r (Date)
I$ts a (Sig)
ITSPI;C OR