HomeMy WebLinkAboutDrain Layers Permit 37 Robert Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER,'S PERMIT N? 1604
19-1--L--
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at 7 �iRn D 4 r`�9- , on the
side, between
at premises owne by
whose address is es
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 (INDUSTRIAL WASTES"( ), OR ( )
Connection will be made with 34
Permit to be issued to
the holder of Drain Layer's License No. Z Permit \sefortltphr
i 19
The undersigned Drain Layer hereby agrees to all. he terms and conditions n the permit and the reverse side
thereof. Applicant has received Town Permit No. a oP mit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid - Zr Licens d Drain Layer
ql-- 2- 2— Issued b
Tax Collector y
Permit Fee Paid $ __/5� P O
INSPECTION: Check Number: 7
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)