HomeMy WebLinkAboutDrain Layers Permit 18 Dawn Drive TOWN- OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT NO 2043
4 , 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at .�D� /(�t g �Gc w'A r on the
side, between ,Q
at premises owned by J M S yJrOS
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
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Connection Charge Paid 14QQ _ e Li ens Drain
Issued by
Tax Collector
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Permit Fee: Paid $ Zs'__
INSPECTION:
Check Number:
INITIAL (Sig) Wj
FINAL / (Sig)
APPROVED ! (Date)
-k C (Sig)
INSPECTOR
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