HomeMy WebLinkAboutDrain Layers Permit 105 Diane Drive _x.*„,,�.^-"eir'7v'�`4...;ts'•3'f�R't�ti.�'�7:.�.�.;:�'as'� ,t°.'c�rz'Y,�°'.isr'=2T^di'{.-_T• ,N„�i� , - j,�'
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TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
'
South Windsor, Connecticut B/P No.:
List No.: _ _
DRAIN LAYER',S PERMIT 3369
rJ 191L1_
Pursuant to written ap liicati r, ermission is here granted to the Licensed Drain Layer named herein to"perform
the work indicated below at t/ r on the
side, be ween
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay Fain, Other
� .
for
occupancy or use,
with -j Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( j, 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
q6 0A 0 ,0)6/1
Signed
onnection Charge Paid
Licensed Drain Layer
Issued by
T x Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR