HomeMy WebLinkAboutDrain Layers Permit 45 Skyline View TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
er B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'-S PERMIT
N.p
1188
1,27 19 77
<, Pursuant to written application, permissio �i hereby granted o Liycesed Drain Layer na ed herein to perform
,� � 0
'the work indicated below at L� Ui' �Gt.� l� 45 on the
side, between
t at premises owned by r �
•. 1 9�.
"ose address is
a d 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 X), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
}
�r
w
Permit to be issued to
the holder of Drain Layer's License No.= `/ 1 -T Permit will expire on i 19
The undersigned Drain Layer hereby agrees to al the terms and conditions set forth on thepermit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
ry Signed
Connection Charge Paid / �1 / ,� Licensed Drain Layer
- Tax Collector Issued by
Permit Fee: Paid $ _ X�d
INSPECTION: Check Number:
INITIAL (Sig)
FINAL j/I✓ Lj6<c'c/ � (Sig)
APPROVED (Date)
2 7 (Sig)
INSP TOR