HomeMy WebLinkAboutDrain Layers Permit 117 Dart Hill Road \I
µ TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER"S PERMIT NO 1561
DtfC, a , 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1 -7 Dar"�— �`-I 1, 1 ]\, `4 ' on the
side, between )
at premises owned by IL(• C
iiI' If JROL/1A::Caf-CL
whose address is i l l L ,r
and to —C, Lay House Drain, Repair House Drain, Lay-Main, Other
for
occupancy or use,
with Family Units, with acres.
Type of Sewage to be c nnected under this permit: C ,
SANITARY SEWAGE ( INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to O B pu 42(��r d
the holder of Drain Layer's License No._ 7(� . 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 L'ic7fised DraZ'6yayer
Issued by Gt°
Tax Collector
GO
Permit Fee: Paid $ __/ i
INSPECTION: Check Number: 7970
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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