HomeMy WebLinkAboutDrain Layers Permit 110 High Street TOWN OF rS TH WINDSOR
DOPARTMENT 0 p
OtLUT10N CONTROL .
South Windsor, Gohnectiut BAP No.:
Y s T List No.: S Q6
DkALN LAYER'S flL'R�MIt r, ;
K _ }�0 985
7
Pursuai Written applicat7or, permission is hereby'
�f
.•*' a �Q granted to the Licensed Drain%Layer named herein to"perform
the work lndtea,ted•below at.
^^44 side, between an the ,
at premises owned by ---------------
whose address
and to LaYIoge Dta ip, tepa'ir douse Drain, La
for Y Main, Ocher'
7.
with 10f11 occupancy or Use,
Family Units, with
acres.. L
Type of Sewage eo be convected'under this permit:
SANITARY 8PWAGE ( j, INDUSTRIAL WASTES "
OR ,
{ ),
Conn
ection.wil.1 be made with
Permit to be issued to aftQO
" 'th6_ der. 'of.Drain 1%aYi 's�mgense No.
.. sPerm t Will egpire.on`'�
The uadetsigied Drain Layer heiely agrees to all the terms and conditions set fech on the permit and the reverse side-thereof. Applicant has received Town Permit No. $ °
for street eacavatioti: and/or C fi`D Permit No.
SPECIAL" CONDITIONS
Si ned
.Connection`Charge.Paid
8 �` � �F j
License rain Dyer"
TTa--Collector Issued by
a .� r
Pertnit Nee:. Paid ,
INSPECTION
INITIAL -
FiNY1L -
APP /(S �
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