HomeMy WebLinkAboutDrain Layers Permit 98 Homestead Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut 3 a D 3
List No.: _
DRAIN LAYER'S PERMIT N? 2152
a 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain La er named herein to P JJ erform
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the work indicated below at .� 0 TLL do G' P /^ ��� � on the
side, between /�
at premises owned by f-1�/ -1
whose address is
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
i
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 H D Permit No.
for street excavation.
SPECIAL CONDITIONS
ZAP Signed
Connection Charge Paid G O Licensed Drain Layer
016�n,,O�Z `"vim ,sued by
ax Collector
Permit Fee: Paid $
INSPECTION: Check Number: Z o?
INITIAL (Sig) �� SS'CJ�c.
FINAL (Sig)
- -APPROVED - - - -- (Date)
--- - (Sig)
INSPECTOR
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SOUTH WINOSC}R PG LUfiI!C-N ik71V1 ROL
1 t?CATION -O T ��
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IPA Rr 5 RtiNS TALLER
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