HomeMy WebLinkAboutDrain Layers Permit 155 Skyline Drive i a
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _ Sao '2 3
DRAIN LAYER'S PERMIT Na 927
04 September , 192_
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Lot 79 Ler Cl on the
east side, between
at premises owned by RU
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for residential
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 ri w i nrh =1 agti r• �i na
Permit to be issued to _R_onn1 d TanabLnni
the holder of Drain Layer's License No. 1d9— . Permit will expire on 04 Octnber 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 09/02✓7e� Licensed Drain Layer
#844 Issued by Me Timothy Fri
Tax Collector
Permit Fee: Paid $ ___-j5.00
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR