HomeMy WebLinkAboutDrain Layers Permit 10-27-1982 TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List No.: _
i
DRAIN LAYER'S PERMIT NO 2668
7 19
Pursuant to written applicatior, permission is hereby anted to the
Licens d Drain ayerr named herein to perform
work indicated below atO /
on the
side, betw n
at premises owned by
se address is
to Lay House Drain, Repair House. Drain, Lay-Main, Other ,
occupancy or use,
lth Family Units, with acres.
i
Type of Sewage to be connected under this permit:
UNITARY SEWAGE ( .j, INDUSTRIAL WASTES._( ), OR ( )
lonnection will be made with
Permit to be issued to
he holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees to,all the terms_snd 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
ISigned
Con ne Charge Paid�� ��/ y �2-- Licensed Drain Layer
Issued by
Permit Fee: Paid $421-11_ 7
INSPECTION: Check Number: �s
---- ---- - - INITIAL (Sig)
FINAL (Sig)
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(Sig)
- - - - - - -INSPECTOR