HomeMy WebLinkAboutDrain Layers Permit 84 Kent Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List.No.: _
DRAIN LAYER'S PERMIT -
N° 1886
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ,
on the
eC22 n d o t
a - _
"Gmoun� ¢zd $ /M
�`Aalance gue $
Paper Patented By N.C.R.Co.
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the holder of Drain Layer's License No. Permit will expire on
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse s9de
thereof. Applicant has received Town Permit No. ad/ C H D Permit No.
for street excavation. n or
SPECIAL CONDITIONS
/a f 7 y iy
/fi�j oo Signed
Conn cti n Char a Paid 7Tl/i� Licensed Drain Layer
� s-s 14
Tax Collector Issued by
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig) T+M
FINAL
(Sig) � 6
APPROVED (Date
INSPECTOR (Sig)