HomeMy WebLinkAboutDrain Layers Permit 114 Dogwood Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut 3 O
List.No.:
DRAIN LAYER'S PERMIT Np 1492
I� `41 19 -76
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ �� .IUD 6'LJyO 7� �A N E on the
side, between
at premises owned by— J3jA-L
whose address is
and to _ Lay House Drain, Repair House Drain, Lay Main, Other
for GQE5J_1J►ZA7-J t— occupancy or use,
with ®!9/� Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ()(), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with k/C
Permit to be issued to
the holder of Drain Layer's License No.,=2 a7,?.33 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
Signed
Connection Charge Paid v6�V 2 413 e s rain Layer
Issued by
Tax Collector — _'A�
Or-
Oro
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED 7 (Date)
(Sig)
Ddl-PE-CTOR
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8/30/79
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