HomeMy WebLinkAboutDrain Layers Permit 220 Diane Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: f
DRAIN LAYER"S PERMIT Np 1590
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at a o Dl G h e Dr(y on the
side, between
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 O
the holder of Drain Layer's License No._ ,;) 0:2—7 10 Permit will expire on l/G-fd bete 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 '�'� cat
Connection Charge Paid 2p Lice ed 15rain Layer
Issued by � t7
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
.ter
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