HomeMy WebLinkAboutDrain Layers Permit 14 Harvest Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN`.;LAYER'S PERMIT N? 2452
Q � 7 ' 19 � 1
Pursuant to written applic tiorzerpmiss on is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between J
at premises owned by
whose address is J
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, ( ), 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 D Permit No.
for street excavation.
SPECIAL CONDITIONS
9 3
a
/� Q-
"/ 1 7 Signed
Connection Charge Paid f Q b , 0 0 Licensed Drain Layer
- O Issued by
Y Permit Fee Paid $ __LJ=_O ..
INSPECTION: Check Number: `
low
1/S a
INITIAL (Sig)
FINAL (Sig)
—APPROVED— -- --- — - --- -= -�.---- ----
.Date)---------- —
- - _ - - -- --- (Sig)
--- _- --- - - INSPECTOR ..,
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