HomeMy WebLinkAboutDrain Layers Permit 115 Skyline Drive } TOWN OF 'SOUTH WINDSOR }
DEPARTMENT ;OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut �, ��
► List No.:
~' DRAIN LAYER'S PERMIT
N° 637
21 Augmt , 19 A
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Z/S L ift'rgA 101peg lr(Ut 16• RAV14 ) on the
side, between
at premises owned by
whose address is
wand to X Lay House Drain, Repair House Drain, Lay Main, Other
for X"AtilAKIIA1 occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE INDUSTRIAL WASTES ( ), OR ( )
Connection will be made withA,d*,1 ad_(6r) st'& Idwo
Permit to be issued to g*J• Timb
the holder of Drain Layer's License No. W9-M69M Permit will expire on GotOUW 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
Signed
Connection Charge Paid 08-421-74 ..Licensed Drain Layer
Va. Issued by Vje ✓ .xt 14�'� U, jr,
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: 114
INITIAL (Sig)
FINAL (Sig)
APPROVED AS<t wj Al't (Date)
7 is; (Sig)
INSPECTOR ,
F