HomeMy WebLinkAboutDrain Layers Permit 315 Diane Drive TOWN ` OF SORAW WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
411 II 40 South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 216
22 NOY , 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 15 it PrIvo { t 47} on the
W." side,XX3=
issido simlo
at premises owned byf
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for E1 occupancy or use,
with one (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, ) INDUSTRIAL WASTES, OR
Connection will be made with six-Usk (6") PI.Astis AD*
Permit to be issued to Ma A*
the holder of Drain Layer's License No. V9-M6188 Permit will expire on 22 July 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 t PMP, QrW* Md backMl septle *
a'
z
Signed.,..., /--
Connection Charge Paid 1 -73 ;` Licensed Drain Layer
s . (Sig) Issued by NITIA IdWYdIst Jr.
Tax Collector
Permit Fee: Paid $. 1!it0Q
I� bort 1066
INSPECTION:
INITIAL . . -' (Sig)
FINAL (Sig)
APPROVED (Date)
CTOR (Sig)
r. V 0
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