HomeMy WebLinkAboutDrain Layers Permit 4 Steep Road MkL
- TOW: OF SOUTH WI N DSOR
.�f -DEPARTMENT :OV POLLUTION CONTROL
B/P No.: _ •--
Souti�;Windsor, Connecticut
List.No :_s 6091 Z.
DRAIN LAYER'S 'PE
RMITO 933
19
Pursuant tdwtitten appl cauor.,permission is:hereby�granted to the Licensed Draia Layer named herein to 1peTforin
the work-.indicated,flow at - „ on the..
- MONO side, between r
at..premises owned by .row at
whose address is rrrYrrta
and,to Lay hTouse ISrain, Repair Douse Drain, Lay Win; Other
for '
ccupancy or.use,
with_ ir1r ' Pamily Units, t�th ales,
Typ',pf Sewage to be connected under this permit:
S�IVITARY SE`WAGB ( 'j, INDUSTRIAL WASTBS )F 3 OR
Connection will be.made with t
Permit to be issued to
the helder of"Drain Layer's Lici me No. Permit vill expire on il" 1�
The undersigned brain Layer hereby agrees to all the terms and Conditions set forth on the permit an the reY fse side
s •hereof: Applicant has received Town Per No. and/or GH D Permit No.
for street excavation.
SPECIAL'CONDITIONS
Signe : .
Connection Chatge Paid -Licenied Drain Layer.
Issued by
Tag Collector
Permit Fee:. Paid $ ,
INSPECTION: Check Nu'ber:
`INITIAL (Sig)
FINAL (Sig)
APPROVED, (Date).
(Sig)
INSPECTOR
W► �' RTON WHOLESALERS, INC.
ROUT
AND STRONG RD. • SO:WINDSOR, CONN.
413 734-0458 xr'
s
203 528-2141
LA
E
MATERIALS
LUMBER-SHINGLES-BUf4 `