HomeMy WebLinkAboutDrain Layers Permit Schweir Road (3) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT O ► i 1 '*'"' .
I9-7
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Aod an A_ on the
side, between of MWOJXW
� R
at premises owned b
whose address is
w
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for .a occupancy or use,
with =a Vt II111011 Units, with .g 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 02 19 442.
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_ Did
Connection Charge Paid X' Licensed Drain Layer
PM so- (Sig) Issued by
Tax Collector
Permit Fee: Paid
ohs* ft6wl
INSPECTION:
INITIAL *+, ` (Sig)
FINAL *; _',� ' ;' w (Sig)
APPROVED M '1 � (Date)
� (Sig)
PECTOR