HomeMy WebLinkAboutDrain Layers Permit 808 Main Street TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No..
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT
�9c
Pursuant to written applgica/tior, perm ss//ion,,is`` hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at (�(� fi/ ti l V IDa12 on the
side, between
at premises owned by- V; A
�
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
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
7�-
Signed
nnec;Colilector
Paid U 9 y � Licensed Drain Layer
w` Issued by
-
Permit Fee Paid $ ��--Qo
INSPECTION: Check Number: `- -�— --
\` INITIAL
(Sig)
FINAL (Sig)
-.e PP OVE
-- ate
— -- (Sig)
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