HomeMy WebLinkAboutDrain Layers Permit 140 Rye Street TOWN OF.NYTH WINDSOR
DEPARTMENT OF. POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: a r:) f'`
DRAIN LAYER'S PERMIT 518
I9eNe,� , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named he to perform
the work indicated below at mt ,[.Goo. 16 .
on the
..�.a + side, between
s
at premises owned by: — +►�
whose address is P.Q. Beec
5 and to _ ' ay House Drain, Repair House Drain, Lay Main, Other
Tii�IM ,
for
occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under.this permit;
t SANITARY SEWAGE t�j INDUSTRIAL WASTES .( "), OR ( )
Connection will be made with - srilhiaa�IBy . � '
Permit to be issued to- Vls 3t
the.holder of Drain Layer's License No:-M9 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-sweet excavation. . ;. ... .:;,
SPECIAL 'CONDITIONS
r. -.Signed
Connection Charge Paid 12/1 Licensed Drain Layer
P�wq $s Nos" Issued by i I* At. $tutvft b " Sle
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL V**e 1 e 1973 11100 A, Ne
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR