HomeMy WebLinkAboutDrain Layers Permit 75 High Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.:
DRAI-LAYER'S PERMIT
N? 941
19 s.Mtsab.r 1925
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at-is *At )a& Stroat on the
side, between
at premises owned by
— lgwftow
whose address is
and to 2 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 jdx inch 7 f e ni i
Permit to be issued to &Mid xacohmaoi
the holder of Drain Layer's License No."- 427 Permit will expire on_119 Q 6 19-7
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
Signed
Connection Charge Paid Licensed Drain Layer
W Issued by_-- ftaftwaA"ntA
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: 3 21
INITIAL (Sig) ,
FINAL, — (Sig)
APPROVED` (Date) --
(Sig)
INSPEC .
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