HomeMy WebLinkAboutDrain Layers Permit 78 Highland Drive (2) TOWN' 3OF' SOUTH WINDSOR J
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
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DRAIN LAYER'S PERMITO 277
Sfl
1923
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at � ` # on the
WIft side, between YS Md P1210 bab ftive
at premises owned by
whose address is
and to I Lay House Drain, Repair House Drain, Lay Main, Other
for t�l+��t ''" occupancy or use,
with ill Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE,) INDUSTRIAL WASTES, OR
Connection will be made with dl (&*)
Permit to be issued to 6 #A&— 0f
the holder of Drain Layer's License No. 011M 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 H D Permit No.
for street excavation.
SPECIAL CONDITIONS W100 ago �� air*" 1111460
Signed
Connection Charge Paid+ Licensed Drain Layer
(Sig) Issued by ! M*'
Tax Collector
Permit Fee: Paid $
INSPECTION: '
INITIAL (Sig)
FINAL (Sig)
APPROVED '- 3_.•; k to ' (Date)
..:€ ,:s .. (Sig)
' INSPECTOR