HomeMy WebLinkAboutDrain Layers Permit 476 Felt Road TOWN OP SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT
p so
19 _
r- � Rd
Pursuant to written applicataor, permisson'is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at !4t V-
r on the
Mid 18 side, betweeg F*1i: -�' ?► �"
at premises owned by 1% ilst�a;wit.
whose address is fit!! Rt*. r
and to 2-Lay House Drain, Repair House Drain, Lay Main, Other
for ridetit,: ,
p!t!!
occupancy or use,
with
Family Units, with acres.
Type of Sewage,to be connected under this permit;
SANITARY SEWAGE (X), INDUSTRIAL
Connection will be made with Oix (6) isch PLOt$c ffi►i "
Permit to be iss-4ed to JOG* 114tuntoo
the holder of Drain Layer's License No._ '" W"'I Permit will expire on 19�The undersigned Drain Layer hereby agcees to all the terms and conditions"'set forth on the perm d the reverse si7* _
7
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavaiion.
SPECIAL 'CONDITIONS.,
Signed:.
Connection Charge Paid " Licensed Drain Lnyer-
Issued
Tax _,:._ P�r3 A __#: em
Ii' -
as o ector
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Permit Fee:. Paid $
INSPECTION: _Check Number: .-,
INITIAL (Sig)'
FINAL (Sig)
PPROVED - (Date)
(Sig)
INSPECTOR