HomeMy WebLinkAboutDrain Layers Permit 79 Laurel Street (2) SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
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Windsor, Connecticut , ,, i4;/ �-
DRAIN LAYER'S PERMIT
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Pursuant to written applicattor, permission,is hereby granted to the Isi¢ensed Drain-Layer nauiei.heren to perform
the work indicatedr below at on the
side, between ,'- ileti�' ra _
'y
at premises"owned by-211110
-whose a' ress is
and to Lay House Drain, Repair Housg Drain,. Lay fain, Other
for
occupancy o&use
with 4 Famtly Vnits, with ,t3iCCe§.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( j, INDUSTRIAL. WASTES OR ( j
Connection will be made with 4"41110 4111116011116
Permit to be issued to
the holder of Drain Layer's License No permit rilk espre on
The undersigned Drain Layer liereb� agrees 6 all the terms ari ;conditions set forth on the permit and t e reverse side
thereof: Applicant has received Town Permit No: and/or C HD Permit:No.
for street.excavation.
SP1 CIIL CONDITIONS
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Signed` r
Connection Charge Paid e
leense i La r';
y
Issued by !
-Tam Coll
Permit Fee: =Paid'
INSPECTION• Check Number:
INITIAL / 7i� .
FINAL.` e� ' �, (Sig)
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40
-INSPECTOR :r _
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-.ter