HomeMy WebLinkAboutDrain Layers Permit 68 Kent Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT
N° 1885
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
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2 Paper Patented By N.C.R.Co. N.B.B.Co. Made in U. S. A.
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 1
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
/o q -7 9
/�0 /�y Signed
Co nection Charge Paid V60 •Oa Licensed Drain Layer
Tax Collector Issued by
Permit Fee: Paid $ _ ��OD
INSPECTION: Check Number: �3-�V19�_
INITIAL (Sig) tr//
FINAL /
(Sig)
APPROVED (Date)
_ INSPECTOR (Sig)