HomeMy WebLinkAboutDrain Layers Permit 24 Gulley Drive (Lot (2) TOWN OF SOUS' WINDSOW
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN. LAYER'S PERMIT N? 222
2-3 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 24 Goa Drive Upt 114) on the
want side, between DaMmood 1"s
at premises owned by j*w C* Be (hd3lanatte
whose address is
and to XLay House Drain, Repair House Drain, Lay Main, Other ,
for resid 4atiol. occupancy or use,
with *jk* 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with (61*) i�tio Idpa
Permit to be issued to FOR* Xuago
the holder of Drain Layer's License No. Permit will expire on 23 JU1Y 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 DraU TAY*r to Vft, s 1"Me tak.
Signed
Connection Charge Paid Ji "`23-23 Licensed Drain Layer
Per is Maxim (Sig) issued by Kolyisk EdWarda, Jr*
Tax Collector
Permit Fee: Paid $ _
INSPECTION:
INITIAL '? (Sig)
FINAL —^^" (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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71