HomeMy WebLinkAboutDrain Layers Permit 55 Juniper Lane TOWN 0F_SOUTH- WI N DSOR
DEPARTMENT OF PO i"O'Coticut
N CONTROL
South Windsor, B/P No.:
List.No.:
DRAIN LAYER'-S PERMIT -
N° 1435
Pursuant to written a licatior
pp , permission is hereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at
on the
side, between
at premises owned by �' 411
whose
and to A-Lay House Drain, Repair House Drain,
Lay Main, Other
for
with Family Units, with occupancy or use,
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (�), INDUSTRIIAL WASTES .( ), OR ( )
Connection will be made with oilt—
Permit to be issued to
the holder of Drain Layer's License No.
The undersigned Drain Layer hereby agrees to all the terms and Permit will expire on 19
conditions set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS
Connection Charge Paid Signed
Licensed Drain Layer
Tax Collector
Issued by
Permit Fee: Paid $ _
INSPECTION: Check Number:
INITIAL (Sig)
FINAL
(Sig)
APPROVED 'J 7-7 ' (Date)
���IJID/9
(Sig)
INS C OR"•
1 -
F--- SAT E RA L - -------
22! BEND ,
C.L.
0 UM RE R LOT 1 4.
7 � 75
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Y
-P� E
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