HomeMy WebLinkAboutDrain Layers Permit 81 Juniper Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South .Windsor, Connecticut B/P No.:
List.No.. _I .
DRAIN •LAYER'S PERMIT -
N° 1530
Ova nnEr—f,
Pursuant to written applicatior, permission is hereby granted to the.Licensed Drain Layer arced herein to"perform
the work indicated below at G �+ -�•.._ . _ ��' , , H � � ,
L D 1 CIO on the
side,:between
at premises owned by
whose address is
and to Lay House Drain, Repair House`Drain, La in
y Ma Other
for
occupancy or use,
with Family Units, with:
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( j,.,INDUSTRIAL WASTES'.(.
), OR (, )
Connection will be made with
Permit'to be issued to V, It'4.
the holder of Drain Layer's License No Permit will expire on l
The undersigned Dtain Layer hereby agrees to all the terms and conditions sef forth ofi
- the permit and the reverse side`
thereof. Applicant has received Town Permit No.
for street excavation. and/or C 9 D Permit No.'
SPECIAL CONDITIONS
Signed
Connection Charge Paid Licensed Dr in Layer
i
Tax.Collector- Issued by
0
Permit Fee:. Paid $
INSPECTION: Check Number: 506 8 Q
1` INITIAL (Sig)
FINAL (Sig)
APPROVED -!�r .
INSPECTQR .(Sig)
r,�
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