HomeMy WebLinkAboutDrain Layers Permit 49 Rosemary Lane TOWN ' OF SOUTH WI N DSOR y
DEPARTMENT OF POLLUTION CONTROL
{A
B/P No.:
South Windsor, Connecticut
'List No.: :-60969
DRAIN LAYERS PERMIT
O 99
20 Nov er , 19 75
Pursuant to wrigen applicatior, permission is hereby granted to the Licensed Drain Layer named he to perform
the work indicated:below at '
on the
side,
at premises,owned by $ ,04a`- ►
whose address is
and to , Lay House Drain, Repair House Drain, Lay Main, Other
for r� d�rtal
occupancy or use, .
with O21! Family Units','with acres.
Type. of Sewage to be connected under this permit:
SANITARY SE*AGE ), INDUSItiftAL WAS" s :( ''bRR-'
Connection will be made with e
Permit to be issued to . Vile!' diymv
the holder of Drain Layer's Licec se No. Permit will expire on � sbur 19�_
The undersigned,Drain Layer hereby agrees to all the terms a d c'nditionis set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H U Permit No.
for street esha ration: ,
Signed'.`
Connection Charge Paid Licenss.d Drain Layer
1 Issued by 1Lttya
Tax Collector
Permit Fee Paid $ J SAW-
INSPECTION:., Check Number: 34
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
OF
�. . (Sig)
PECTOR