HomeMy WebLinkAboutDrain Layers Permit 189 Skyline Drive (2) OWN CIF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL.
B/P No.: ' 9.
South Windsor, Connecticut
C1` List.No.: -66A"',
DRAIN LAYER'S PERMIT 735
1 14*MN&M , 19�' '
Pursuant to written'applicatior, permission is hereby granted to the Licensed Dra ti`Laver_named herein to perform
the work indicated below at I -�r4 6 on the
side, between
!S! ,, MA MIA At"d
P by "
at remises owned
whose address is
and 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 (24, INDUSTRIAL WASTES .( ' ), OR
Connection will be made with O
Permit to be issued to WOOL WIS
the holder of Drain Layer's License No. Permit 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 r
thereof: Applicant has received Town Permit No. and/ot C H D Permit No.
for street exeavation.'
SPECIAL CONDITIONS
Signed_
Connection Charge Paid Licensed Drain Layer
s Issued by " # 11111,0111111246114 JV6
Tax Collector
Permit Fee:. Paid $ _
1360
INSPECTION: Check Number: "ft
AM
INITIAL �F :..� (Sig)
FINAL (Sig)
APPROVEDi (Date)
:s
-�Tr k INSP]RCTOR (Sig)