HomeMy WebLinkAboutDrain Layers Permit 29 Apple Tree Lane i TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
' South Windsor Connecticut
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. . _ DRAIN LAYER'S PERMIT Np 284
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r.` r' � 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at '�n A 7;"-
on the
side,_betNy,e4M_
at premises owned
whose address is
and to kj Lay House Drain, Repair House Drain,
Lay Main, Oilier
for f�'* ,S . y+ '
E s{
occupancy or use,
with Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE,k' INDUSTRIAL WASTES, OR--
Connection will be made with
i
Permit to be issued to
the holder of Drain Layer's License No.
The undersigned Drain Layer hereby agrees to all the terms and con Permit will expire on
x t 19
ditions set forth on the permi and the reverse side
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS t f
Connection Charge Paid,..$\ Signed £
.4•, � - Licensed Drain Layer `s
Tax Collector
(Sig) Issued by z � .nt.....
Permit Fee: Paid $. f, ,00
INSPECTION: C
INITIAL
(Sig)
FINAL / (Sig)
APPROVED (Date��A�� �
_____•��l ���117 (Sig)
INSPECTOR