HomeMy WebLinkAboutDrain Layers Permit 697 Governors Highwa TOWN OF SOUTH WINDSOR Q
* DEPARTMENT OF POLLUTION CONTROL 1 �
"South Windsor, Connecticut B/P No.:.
List No.: _ � 7
DRAIN LAYER'S PERMIT NO 1541
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Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between
at premises owned by_ G C IG h l 1 N
whose address is
and to It Lay House Drain, Repair House Drain,` Lay'Main, Other
for F-eG OC baTI AL occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE O,.INDUSTRIAL WASTES .( ), OR
Connection will be made with_�n y
�f
Per ;q to;bT is$.ugd tp
M r �
the holder of D ti i I a 1
{ 'rfi yerys,�atcense Igo. 'Permit"will expn a on 9
The undersigne(� Drg1 f1 T a,ye yrye E12iV aDees to all the terms'ands co ditions met'}Cotth o'"theetmit an a rev rse side
q "?i9 C"��. {l.]-3�'7_C! 3o,,LI...,.,_ l' sim:',`l ,. d itii.,i .Mott :7 ti :h ! 1hi'th . V -
thereof. Applicant has received Town Permit No. 'nii /8r C'I�'D"1�eY�if•Nb: ' 'tl
for street excavation.
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SPECIAL COI�D—I't 1`bNS
to ,(u U tltt:j r t at: n I+J n,iI ,
,r( qt it
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Signed
Connectio gn Charge Paid''' ( ,� Licensed Drain Layer'
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Issued by A/ -
Tax Collector
Permit Fee: Paid $ _,S O__
- INSPECTION: Check Number: - L_
INITIAL (Sig)
FINAL (Sig)
APPROVED //���/D -7 (Date)
(Sig)
INSPECTOR
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