HomeMy WebLinkAboutDrain Layers Permit 54 Meadow Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No,: _ J
DRAIN LAYER',S PERMIT NO 1388
19
Pursuant to written applicat*or
' per�'s/cion is�ereby gra ed to a Licensed Drain Layer named he to perform
the work indicated below at `� 7 !/�t�� �'' U 7 on the
side, betwe n)
at premises owned by— _;6/e
whose address '
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 ( V, 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 Licensed Drain Layer
Issued by
Tax Collector _
Permit Fee:. Paid $
INSPECTION: Check Number: t
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
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A DAM_
-MEADoV4
DREG
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oF� RANGE OF 140(U.SF -
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