HomeMy WebLinkAboutDrain Layers Permit 25 Margaret Drive TOWN OF SOUTH Wl N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT No 347
5 zS 19d
Pursuant to written appliccatioorr, permission is hereby granted to the
Drain Layer named herein to"perform
the work indicated below at on the
side, between
`'
at premises owned by—
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
Signed
Connec ' arge Paid 2107 25 91 Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $ _�✓�__ Ls�l
INSPECTION: Check Number: S6
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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