HomeMy WebLinkAboutDrain Layers Permit 229 Skyline Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT N0 843
�Y�p S!G)I Z1,4s �2/vE 1+-2r;-7� , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Loton the
side, between
at premises owned by 8&11444 J4a48M MA4WMA .JA^ii
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for j;,.�i[?mr�i:zAl
occupancy or use,
with Oge Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY'SEWAGE"( ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made withS'w I$Ch P1'"ti c Fib`-
Permit to be issued to X Vincent Vlespa Jr.
the holder of Drain Layer's License Now "'�'9 2061528Permit will expire on 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 Licensed''Drain Layer
Issued byFronk J. mitli
Tax Collector
Permit Fee: Paid $ A�LQ9__
INSPECTION: Check Number: '
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)