HomeMy WebLinkAboutDrain Layers Permit 23 Raymond Road (2) P.
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
,S _t/,;762 i 0
DRAIN LAYER'S PERMIT N? 389
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ue on the
War* side, between AmW a Damill!t
at premises owned byQhA de
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use,
with OA# Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with six (6) A"U`
a
Permit to be issued to
OR 73
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 s.treet�e caL'
SPECIAL CONDITIONS
Signed
Connection Charge Paid " Licensed Drain Layer
Pere so NO"$ �,ph Ae 8ta�realber 41re
Tax Collector (Sig) Issued by
Permit F& a#
$
INSPECTION:
`OF
INITIAL (Sig)
FINAL (Sig)
APPROVED 7 (Date)
(Sig)
INSPECTOR