HomeMy WebLinkAboutDrain Layers Permit 15 Skyline Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut S-6,OF34 List No.: _
DRAIN LAYER ' S PERMIT NO 889
08 MY , 1975
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform//
the work indicated below at lilt 1 IS- SK Y L S 'bn i u E on the
West side, between Braoktia.a 904 Gird
at premises owned by '1eM
whose address is
and to XLay House Drain, Repair House Drain, Lay Main, Other
for rartjAdM+1i occupancy or use,
with one 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 JAch PWt1c pilaf
Permit to be issued to P4nj 1Q laodbucci
the holder of Drain Layer's License No.W9- . Permit will expire on 08 $ep tmj� r 1
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
Connection Charge Paid '7 ~Licensed Drain Layer
* 818 M Timothy FMm
Issued by +
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL % (Sig)
FINAL (Sig)
APPROVED �M (Date)
(Sig)
INSPECTOR