HomeMy WebLinkAboutDrain Layers Permit 557 Rye Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER' S PERMIT N? 2337
Pursuant to written applicatior, permission is ere by granted to the Licensed Drain Layer named herein to perform
the work indicated below at 5�-1 on the
side, between
at premises owned by � i966 X ,
whose address is
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
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 petit and the reverse side
r)
thereof. Applicant has received Town Permit No. and/or C''H D Permit No.
for street excavation.
SPECIAL CONDITIONS
L u'
l g�0 Signed
Connection Charge Paid$ YO .0 6 Liceni-edr tary
Issued by
x Collector A,,,,,,�
Permit Fee: Paid $
INSPECTION: Check Number: —ZL20
(�
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
l �
- z1 -
W
�I f
s �I s
' i
1
—
��i
�I
I'
1
-