HomeMy WebLinkAboutDrain Layers Permit 137 Laurel Street (2) >T6WN OF SOUTH WINDS0R
LIet
boap DEPARTMENT OF POLLUTION CONTROL
JSouth Windsor, Connecticut
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DRAIN .LAYER'S PERMIT �p 348
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the
side, between
-10CA1111 IN-0
at premises owned bwhs-ge address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for »
occupancy or use,
with ' Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGF) INDUSTRIAL WASTES,OR
Connection will be made with.-
Permit to be issued to �Yrrrir!
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 permit and the reverse side
thereof, x'Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS MMMI
Signed /
Connection Charge Paid+ Licensed Drain Layer
AwX0on"
Tax collector
(Sig) Issued by
... - _
P rmi F e: Paid $
INSPECTION:
.INITIAL (Sig)
FINAL (Sig)
-_ _
ate
_._(Sig)_
—INSP E -