HomeMy WebLinkAboutDrain Layers Permit Schweir Road ,41
TOWN OF SOUTH WI N DSOR
~� DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT NO 119
: z
02 J=9 19 72
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at SChweir Road on the
SOUth side, OP Su11iV� �Yeaius
at premises owned by
whose address is
and to _. Lay Hpuse Drain,,.,. Repair House Drain,- Lay Main, —,,-.Other
Othet_ _
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 �f!n
Permit to be issued to_�,c-A TyAust*4 g
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 t r ris'eVetse side'
thereof. Applicant has'received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Developer*is Agmenent
Signed
Connection Charge Paid $ Licensed Drain Layer -
(Sig) issued by HftrVey Ws L*VaQk
Tax Collector
Permit Fee: Paid $25.00
Check Nt riber3 11877
INSPECTION:
INITIAL " f' (Sig)
FINAL '' - (Sig)
APPROVED - .,,.. _ (Date)
kr_, (Sig)
INSPECTOR