HomeMy WebLinkAboutDrain Layers Permit 334 Strong Road (2) TOWN OF SOUTH W1 N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N0 2442
Pursuant to written applicatior, permission�' hn7erby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the
side, betty n
at premises owned by-- QN-
whose address is and to Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
a
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( j, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to
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
thereof. 'Applicant has received Town Permit No. and/or C H D Permit No. '
-
SPECIAL CONDITIONS
Signed
Connection Charge Paid -,�ad.� v Licensed Drain Layer
Issued by
�,Q�pj Tag Collector
Permit Fee: Paid
INSPECTION: Check Number: *1
INITIAL (Sig)
_-
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR