HomeMy WebLinkAboutDrain Layers Permit 330 Governors Highwa TOWN OF, C1H WINDSOR
DEPARTMENT EW POLOLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N? 393 /
Aug. 22 ' 1 91 _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 330 Goveners Highwa7 on the
north side, between John Fi nh R1 ve R Ntxtlueo Rd�
at premises owned
whose address is same
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for industrai 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 1 L n
UMUG pipe
Permit to be issued to
the holder of Drain Layer's License No.W-92 s7 Permit will expire on acts 27
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. R -.
for street excavation.
SPECIAL CONDITIONS nnna
Signed.,
Connection Charge Paid 67 fa 23 Licensed Drain Layer
Per. No i (Sig) Issued byl . A StskrkwoSther
- Tax Collector '� `�
Permit Fee: Paid $
INSPECTION: Check -- ......»
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
E
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