HomeMy WebLinkAboutDrain Layers Permit 91 McGrath Road TOWN OF SOUTH W!N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT N? 2383
Pursuant to written applicatior,cp��e/rmission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at // ee U(-a I A WC/ on the
side, between
at premises owned by 6W bYm
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
Connection Charge Paid �UQ Licensed Drain Layer
( �
Issued by
Tax Collector 3k-3 /S-
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (sig)(k),SN�Pw Ski
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
41 ;V
i
S
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NOTES SOUTH WINDSOR POLLUTION COMOL
LOCATION 7/ /p' `' .- v, -
TY PE 0 wb RK c>
DATE _ �$� PE—R'MIT E ? PIPE r-" t
INSTALTFR
INSPECTORS DRAWN BY S .