HomeMy WebLinkAboutDrain Layers Permit 67 Scott Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.: Q
List.No.: _3/ !07
DRAIN LAYER'S PERMIT -- -
N° 202'7
19P6
Pursuant to written appl:OA2i'slon
's hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the
side, between
at premises o ne6 by
whose address is
and to Lay House Drain, Repair House Drain, La Mi
yan, Other
for '
occupancy or uce,
with OrYI Q Family Units, with
acres.
Type of Sewage to be connected under this permit: r
SANITARY SEWAGE ( INDUSTRj#1L1 WASTES . ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on l
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
Connectio rge Paid Licensed Drain L er
-7&
Issued by
Tax Collector
Jett
Permit Fee: Paid $ `S✓_
INSPECTION: Check Number:
INITIAL (Sig)
FINAL
(Sig)
APPROVED (Date)
INSPECTOR (Sig)