HomeMy WebLinkAboutDrain Layers Permit 131 Gail Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:South Windsor, Connecticut �S
List No.: _
DRAIN LAYER'S PERMIT N0 2375
Pursuant to written applicatior, pission is hereby granteZthe Licensed Drain Layer named herein to perform
the work indicated below at 's on the
side, betwe-e7n'-'
at premises owned by J • `//, .�
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 { j, 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
Signed
Connection C=.�-Paf�d,.., (� , �. / Licensed Drain Layer
- -Issued-by-_------------- - - -- -- -- — ----- -------
ax Collector - - ----
/ /
Permit Fee:. Paid $ _L.-� 6 f
�--__ INSEECTION: Check..Nurubex.: L
INITIAL
.(Sig)
FINAL (Sig)
APPROVED (Date)
- - -- (Sig)
•INSPECTOR
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N � \
X
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I�OiES SOUTH WINDSOR POLLUTION CONTROL
LOCATION o 7 n'.
OW INTER rQ S C
TYPE OF WORK
DATE - PERMIT T7.SPIPE "
INSTALLER v J-0.r
INSPECTOR -7- DRAWN BY S"