HomeMy WebLinkAboutDrain Layers Permit 98 Dogwood Lane OM
TOWN _ t 1- WIN150R
DEPARTMENT:' OF POLLUTION CONTROL
SouthVindsor, Connecticut
DRAIN LAY-ER'S ' PERMITNO220
Pursuant to written application, permission is hereby,granted to the Licensed Drain Layer named herein to perform
the work indicated below at _ on the
i� side '7
at premises owned bytld` ri
whose address is
and,to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with No 40
l Family Units, with acres.
Type of Sewage to be connected under this permit. t
ANITARY SEWAGE, INDUSTRIAL WASTES, OIL
Connection will be made with—
Permit to be issued tot
the holder of Drain Layer's License No. Permit will expire on. 83 Aft 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 i ANM f MA %Mfk ,
J
Signed` ,
Connection Charge Paid Licensed Drain L er
(Sig) Issued by � t O�
Tax Collector {
Permit�Fee: Paid $
INSPECTION:
INITIAL +�+"'"""'.
(Sig)
FINAL - (Sig)
APPROVED t (Date)
(Sig)
INSPE
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