HomeMy WebLinkAboutDrain Layers Permit 515 John Fitch Boule TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLLN16 i CONTROL
South Windsor, Connecticut 6OCfX3
DRAIN LAYER'S PERMIT NO 48
--- '��' 719-64
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to.perform
the work indicated below at l41e ••,� N )7r: r " ',f �` A. on the
d:0I's�° side, between •" r�t.��!s� �► ,+�.'.�•1�";Vy-
at premises owned by
whose address is "� _ Q r A!ow iR
and to Lay House Drain, Repair House Drain, Lay Main, Other
for a►s! z 4
occupancy or use,
with Family Units, with t* acres.
Type of Sewage to be connected under this permit:
E SANITARY SEWAGE. INDUSTRIAL WASTES, OR s
Connection will be made with
Permit to b4Sissued to— "v
the holder of Draij�NLayerfs License No._ Permit willxpire n' _ 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth onhe permit and the reverse si
thereof. Applicant has received Town Permit No. ""b and/or C H D Permi No. it 6 /)
for street excavation.
SPECIAL CONDITIONS
r
Signed
Connection Charge Paidi ens
:-4 P 44:..,xJ#,6 (Sig) issued by =t
Tax Collector
Permit Fee: Paid
INSP CTION "`
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
100,
(Sig)
-'INSVDITOR
I
SA:!'T.S..S.a 2Li..P.. JuWER- "E,'ERUTIGE
i¢ ,7
scr
Qccu-Pat UAC
Address 515 aJohn Fitch RMjkgv#W,
'' 34 Parcel b
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