HomeMy WebLinkAboutDrain Layers Permit 1449 John Fitch Boul TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List.No.:
DRAIN LAYER'S PERMIT N? 1412
0
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Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at ��79 ,��HN �� n
on the
side, between
at promises owned byr.� OTT
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
Permit to be issued to Coyg-& C b N
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby dgrees 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 Laye
Issued by
Tax Collector
O%
Permit Fee: Paid $
INSPECTION: Check Number: 1�
INITIAL (Sig)
FINAL
(Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION !uH oli f4 r=FrC.
OWNER
TYPE OF WORK
DATE 6 - 10 -7 8 PERMIT PIPE
INSTALLER
INSPECTOR DRAWN BY