HomeMy WebLinkAboutdrain layer permit 0000 Sullivan Avenue (4) TOWN OF SOUTH
_ WINDSOR
s DEPARTMENT OF POLLUTION CONTROL
< f
t South Windsor, Connecticut
DRAIN LAYER'S PERMIT p°•;1
t
04
19_ _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
1 on the
side, between
at premises owned by
whose address is
and toLay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
onnnnrec�tion wi a mM
ade with
+�—a�r��a ♦� o env
Permit to be issued to
ww r. yy7
the holder of Drain Layer's License No_tga jmmznftk Permit will expire on l
The undersigned Drain Layer hereby agrees to a e terms and conditions set forth on thee ermi e rgti everse s
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
i
Signed Vt to Pe QLb
Connection Charge Paid rain Layer
(Sig) Issued by ,
lax k oiiector
ingtaUation made, but not ineWted Permit Fee: Paid$
by Torte Of South WAAWOr Server Dewtmeanto
r�+v
INSPECTION: Cbe& lheb@r# 414116
�
NO
nin wards, r
FINAL (Sig)
ud�is �
(Sig)
APPROVED (Date)
(Sig)
INSPECTOR