HomeMy WebLinkAboutDrain Layers Permit 390 Beelzebub kiMNT `:0E- POLLUTION CONTROL
South.Windsor, Connecticut
.DRAIN LAYER'S PERMIT
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Pursuant to written application,'permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at -ag Za �� on the
side, between
at premises owned by �
whose address is and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for 1 occupancy or use,
withFamily Units, with ..+�e acres:,
�. i
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, ` INDUSTRIAL WASTES, OR
Connection will be'.iiade with_
Permit to'be issued to
the holder of Drain Layer's License.No., P1401M Permit will expire on
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse-side
Shereof. Applicant has-ieeeived Town Permit No. and/or C H D Permit No.
for street excavation
PEC;AL CONDITIONS
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Signed
Connection Charge Pai �7 �LlaY _
Wsr B- 1118aft (Sig) Issued by
Tag Collector
Permit Fee:' Paid! 1'lroe
INSPECTION: ! ''fir..;IMP
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
s ,
(Sig)
INSPECTOR