HomeMy WebLinkAboutDrain Layers Permit 1007 Misty Meadow La K`;4.;..; '-
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TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT 3329
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Pursuant to written a plicatior, permission is hereh granted to the Licensed Drain Layer named herein to perform
the work indicated below at (] on the
- side, b een b� '
at premises owned by
whose address is
and to. Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain.Layer's License No. Permit will expire on 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
Signed
Connection Charge Paid ffoo.0 5v � Licensed Drain Layer
V�-elf Issued by
p*,TCollecto ,
S Permit Fee: Paid $ b
INSPECTION: Check Number: J
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR