HomeMy WebLinkAboutDrain Layers Permit 406 Quarry Brook Dri (2) 01-
_. TOWN OF SOUTH WINDSOR "
DEPARTMENT OF POLtJ)T)0N >CONTRgL I
,
B/P No.:
South Windsor, irpnnecticut
List.No.:
D:RALN'.. ER"S PERMIT 707
Pursuant toowritten alplioatior;'permlaslon is hereby granted to the'Licensed Drain Layer named he to perform
Jv
the work indicated below at Y ft*k `w '
on the
ide, Setwieeh
at premises owned.by
whose address is
and to IxLay 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, IN15LT�TRIAt WARS :(' ), OR
Connection will be made with "
Permit to;be issued to _ • `
the holder of Drain Layer's I:icjnse No:_ Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the tams and conditions set forth on the permit end•tle reverse side
ri.
thereof: Applicant has received Town-,Permit,No.: and/or IC H"D:PermiJ o.
for street excavation.
SPECIAL CONDITIONS
figned f.
Connection Charge Paid _ Licensed Drain Layer i
Issued by .
Tag Collector
Permit Fee:. Paid _
INSPECTION: Check Number: '
INITIAL. (Sig)
FINAL -(Sig)
.APPROVED (Date)
r` (Sig)' {
INSPECTOR