HomeMy WebLinkAboutDrain Layers Permit 35 Benedict Drive TOWN OF%. SGYTV WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
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tk**r4 74 40 DRAIN LAYER'S PERMIT ,try 207
18 , 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 35 agam"a$ ye (L i ;
on the
side, between Avery Urgat a p
at premises owned by Nalura W. 'him
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with @I o (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with A.xt a (69 pjasUe
Permit to be issued to Ermils wo zmza
the holder of Drain Layer's License No. Permit will expire on le, July 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS *r tO • lErUNk sad Mill wTtie
Signed
Connection Charge Paid= 0 "3,*73 Licensed Drain Layer
Per 5* > js (Sig) issued by W, Le"Ok
Tax Collector
Permit Fee: Paid $ 15*00
INSPECTION: b*rt
INITIAL (Sig)
FINAL (Sig)
APPROVED luaus
(Date)
(Sig)
INSPECTOR
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