HomeMy WebLinkAboutDrain Layers Permit 10 Beechnut Lane TOWN OF SOUTH WI N DSOR
i DEPARTMENT OF POLLUTION CONTROL_.
s } B/P No.:
South-Windsor, Conneatieut S 6 94
List.No..
J DRAIN LAYER'S PERMITp 956
L 1A 0o#ouri ) 19 7
Pursuant to written applicatior, permission is hereby grmted`to the Licens Drain Layer named herein to perform
l.O.
the work indicated below'at on the
side, betweenwirtr�
at premises owned by an PAW"*
whose:address is
and to 1 Lay House Drain, Repair House Drain, Lay-:Main, Other
for klid lisle t d.
occupancy or use,
with an* Family Units, with acres.
Type of Sewage to be connected under this permit•.
SANITARY SEWAGE (7p�j, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with A" ANA A a ::#t-����.
Permit to be issued tom .
the holder of Drain Layer's License No. 8 , Permit will expire on 19
412
Th� undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the per it M�`reverse side�
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
I`
Signed.
ti Connection Charge Paid f Licensed Drain LLver
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION:• Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
R-CTOR L �,
71
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