HomeMy WebLinkAboutDrain Layers Permit 0219 Avery Street TOWN ; OF SOUTH WINDSOR
DEPARTMRNT''OF' POLLUTION CONTROL
B/P No.:
South Windsor,.Connecficut
List.No.
_6&7ZO
DRAIN LAYER'S PERMIT 915
, 19.
Pursuant to written application permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at '. 'rEWIl � on the
side, between ,
at premises owne byIrill�
whose address is 4
and to A Lay House Drai , epair House Drain, Laq Main, Other
for .:: ;
occupancy or use,
with M Family Units,,with acres. ,
z"
Typo,of Sewage to be co nected under this permit: :
SANITARY SEWAGE INDUSTRIAL j, INDUSTRIAL WASTES
Connection,will.be made with
Permit to be is;suef
` the holder of Drain I�,yer. :License No ",M . Permit will expire on 19
The undersigned Drain Layer hereby agree s'to a the terms and bondittons set forth on the permit and,the re�iersg.si�e
t
thereof. Applicant has received Town Permit No. • and/or C Hb Permit No.
for street eueavaton.
SPECIAL".CONDITIONS
4
- e -
Signed}',
Connection Charge Paid 09 s Drain
- Issued by
Tag Collector:
P Permit ke; Pai" —
INSPTION:' Chec
EC k 1Vber
INITIAL ` F (Sig)
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r� APPROVED t (D
1 Y ,` C,r., - (Sig) -
r ' INSPECTORb
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