HomeMy WebLinkAboutDrain Layers Permit 348 Sky Line Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut Spoof vy
List No.: _
DRAIN LAYER'S PERMIT N? 910
'Z 4a �iy L l-lF D,2,ve 12 Anoint ' 17 ---
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Lot 69(ffigftew) 7ai rels.. on the
side, between
at premises owned by
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for Reddntial occupancy or use,
with 0" Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with _ SIX I„eh MaMba 1tn
Permit to be issued to Nowild Irobucal
the holder of Drain Layer's License No W Permit will expire on'2 xautMKb4r 1 CON
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on theppe`rreiit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed Gs L,6�,
Connection Charge Paid 'f Licensed Drain Layer
0831 Issued by M. Ti=tbY WM4
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: - 278 _
INITIAL (Sig)
FINAL f`.. (Sig)
APPROVED _' ` i =#"_. .. (Date)
INSPECTOR (Sig)