HomeMy WebLinkAboutDrain Layers Permit 89 Edgewood Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.: _
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT 3093
N0y24jWA3 ' 19
Pursuant to written ap liocatior, permission is hereb granted to the Licensed Drain Layer named herein to perform
the work indicated below at / granted to
on the
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41d 4-
at premises owned b
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
the holder of Drain Layer's License No. 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
//—c�3 4-3 Signed
Connection Charge Paid VV Licensed Drain Layer
AA Issued by
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Permit Fee: Paid �_L��JO
INSPECTION: Check Number: _Lst
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR