HomeMy WebLinkAboutDrain Layers Permit 20 Schweir Road TOWN. OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N? 3014
19
Pursuant to written a��py�yjfplicati r, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below atAU ��� t l t� [� O� � on the
side, between
at premises owned by OW
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 ( j, 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
ft a Q Signed
onnection Charge Paid .� 0 p /02 j Licensed Drain Layer
y Issued by
x Collect r
Permit Fee: Paid $
U INSPECTION: Check Number: D 6�
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR