HomeMy WebLinkAboutDrain Layers Permit 61 Dogwood Lane A TOWN OF SOUTH WINDSOR
DEPA'RTMENT OF POLLUTION CONTROL N ROL B/P No.: r
South Windsor, Connecticut
List.No.•
DRAIN LAYER'S PERMIT 962
t?bbsr , 19 �
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ �) A1
on the.
side,
ii.
at premises owned by _UT= +�
whose address is � ks
ani to'L Lay House Drain; Repair House Drain, - Lay Main, Other
for rlAidll:� 1.
occupancy or use,
with 4AA (1 Family Units, with
_acres. '
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X%, INDUSTRIAL WASTES OR ( )
Connection will be made with_ 7C�4IIQ�i
ata. 22+1 .5. at ;a d+W ► of C. � .
Permit to be issued to Adae► WpU ftdd c
the holder of Drain Layer's License No. Permit will expire on 1 ��ar 19�r .
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
Signe
Connection Charge Paid looll..'21�. " Licensed del_Layer
RMc• Issued by KSIV D XdMIlO• S>r'.
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: 39 $
INITIAL�O�s �,dt' ..5�w-r--_""i (Sig)
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FINAL ;�/lam'' * /! (Sig)
APPROVED 'Il`OotobAl. (Date)
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(Sig)
IN TOR
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