HomeMy WebLinkAboutDrain Layers Permit 120 Murielle Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT N? 1318
19
Pursuant to written applic for permission is erer by granted toDeo
Licenserain Layer named herein to perform
the w rk indicat d below at / [(/�~ " �€ 2 t
Q (1 on the
LU side, betwee
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 ()a INDUSTRIA WAS , . ), OR
Connection will be made with L/C�
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 To P it No. and/or C ff Permit No.
for street excavation. 6-1
SPE�Z I O S .�
Signed
Connection Charge Paid V L' sed Drain a er
9_ ��- 72
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED `� (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE ' ) PERMIT J�3 f, PIPE
INSTALLER
INSPECTOR r Cl, DRAWN BY