HomeMy WebLinkAboutDrain Layers Permit South Satellite Road (8) M14
t TOWN OF TH WINDS I
DEPARTMENT-'OF POLLUTION CONTROL
South Windsor, Connecticut r_
DRAIN LAYER'S PERMIT N? 424
set, in ) 19'7_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at S"tA on the
side, between'K411 *
at premises owned by Gft*2%1 I�W COO
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 SEWAG$, INDUSTRIAL WASTES, OR
- Connection will be made with Six ftek
oftmoft PLO
Permit to be issued to Xd11�1il�N �
the holder of Drain Layer's License No"-XI" Permit will expire on + 1
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 i
Signed
Connection Charge Paid $ Licensed Drain Layer
e (Sig) Issued by A, StaAmeatUr Jim
Tax Collector
Permit Fee: Paid W
10 j !
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED I .•..'' (Date)
fF _
(Sig)
INSPECTOR