HomeMy WebLinkAboutDrain Layers Permit 125 Laurel Street (2) I�+l
TOWN OF -SOUTH WI N DSOR
€ DEPARTMENT OF POLLUTION CONTROL
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--.w -... South Windsor, Connecticut
DRAIN LAYER'S PERMIT
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Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at I W&
on the
N&M-- side, between Ak-16&
at premises owned
whose address is �N
and to Lay House Drain, Repair House Drain, Lay Main, Other
for '
occupancy or use,
with aw W Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with ��� 11l> �►.a.y.
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the perrmiiCand the reverse sid€"'
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS MKMM UVW M �
Signed ,<..
Connection Charge Paid $ * Licensed Drain Layer
two X# >• Y
(Sig) Issued b
Tax Collector
Permit Fee: Paid $
INSPECTION: I
INITIAL (Sig)
FINAL 1 (Sig)
Y
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