HomeMy WebLinkAboutDrain Layers Permit 684 Rye Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N0 2377
I19 '/
Pursuant to written applicatior, permissionZyV'y
ereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 6K. on the
side, between
at premises owned by 7/7Cr10UJ S
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 permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
3
1 Signed
Connection Char a Paid �� Lice ed Drain Layer
7z I
Issued by
Tax Collector °,7-✓
—DU
Permit Fee: Paid $ _-.6_____
INSPECTION: Check Number.
INITIAL (Sig) ZZ)/JII-1/t'W_4 I
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
i
N -
,
f
DOTES r /' SOUTH 14INDSOR POLLUTION CONTROL
LOCATION y ,
- OWNER
' TYPE OF
DATE PERMIT 3 7 7 P I Pg. It
INSTALLER , Wt,.
INSPECTOR Q-- DRAWN BY �.