HomeMy WebLinkAboutDrain Layers Permit 1300 Main Street TQWN OE
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South Windsor, Connecticut 99
List No.:
DRAIN LAYER'-S PERMIT O 2113
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named hereinto perform'
the work indicated below at )R 6-A on the
side, bet
we.n n .
at premises owned by n�Y�
whose address is
and to 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 SEWAGE ( ), INDUSTRIAL WASTES OR
Connection will be made with
' 6
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 permit and the reverse,side
thereof. Applicant has received Town Permit No. . and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS"
Signed
Connection Ctsr9 Paid i s'ed'Drain La er
Issued by 15
Tax Collecto If
r
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
- INSPECTOR