HomeMy WebLinkAboutDrain Layers Permit 534 Rye Street i vwN yr wu 111 WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT N0 2662
Pursuant to written applicatior, permission is hereby granted jo the Licensed Main Layer named herein to perform
the work indicated below at b I on the
side, etween
at premises owned
whose address is
and to Lay House Drain, Repair House brain, 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
Permit to be issued to
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 street excavation.
•
SPECIAL CONDITIONS -
Signed
tiChar � �onnec Licensed Drain Layer
Issued by
x
-� Collec or U�C�
Permit Fee:. Paid $INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)