HomeMy WebLinkAboutDrain Layers Permit 8 Woodcock Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List.No.: _
` DRAIN LAYER'S PERMIT
• 3377
_ Pursuant to written appli¢atior, permission is hereby ranteyl to the Licensed Drain Layer named herein to perform
the work indicated below at SLl�f.��—� P m
side, between on the
at premises owned byj:RMa;a:Mq:
whose address is
and to Lay House Drain, Repair House Drain,
for —Lay Main, Other
with occupancy or use,
Family Units, with
Type of Sewage to be connected under this permit: acres.
SANITARY SEWAGE { ), INDUSTRIAL WASTES .( ), OR
Connection will be made with ( )
Permit to be issued to
the holder of Drain Layer's License No.
The undersigned Drain Layer hereby agrees to all te on he terms and conditions set lforth eron he permit and the reverse side
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS
Connection Charge Paid 1/06 ,0 y Signed
`) Licensed Drain Layer
Tax Collector Issued by
Permit Fee: Paid $ _ 1�0d
INSPECTION: Check Number:
INITIAL
(Sig)
FINAL
APPROVED (Sig)
(Date)
(Sig) --
INSPECTOR - -