HomeMy WebLinkAboutDrain Layers Permit 125 Laurel Street V
-- TOWN OF -SOUTH WI N DSOR
--� DEPARTMENT OF POLLUTION CONTROL
-- - South Windsor, Connecticut
DRAIN LAYER'S PERMIT p S-60,
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R Ime I� _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 125 uurai St
on the
Mt/t side, between Oak& Wi low ffit
at premises owned im"__& f.-- —
whose
and to X Lay House Drain, -Repair House Drain
Lay Main, Other
for rolddss;ka
with Oaf (1) Family Units, with occupancy or use,
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with SIX (6) i1tSL Y.C.P
Permit to be issued to_ AdIns W4. j _tee
the holder of Drain Layer's License No. W
Permit The undersigned Drain Layer hereby agrees t��' terms and conditions set forth on the-p e'm t and the reverse s2P
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS Dft= U"r to �� •1�11� �� h��y�i��
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Signed
Connection Charge Paid $ 3-7 Licensed Drain Layer
Per, L. M®Yis
Tax (Sig) Issued by Rrelpll A.
Co Syq ep ��
Permit Fee: Paid
INSPECTION: skeelk
INITIAL (Sig)
FINAL (Sig)
APPROVED O (Date)
r
(Sig)
INSPECTOR ''
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION /.2j— ,qu s
OWNER r� �oGrxr
TYPE OF WORK -TtWC Af eAc
DATE PERMIT PIPE G„
INSTALLER /n wis �, ,
INSPECTOR S - DRAWN BY Q°J