HomeMy WebLinkAboutDrain Layers Permit 144 Murielle Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER"S PERMIT Np 1316
19
Pursuant to written apt) 'cat' r2/pulission 's ereby granted te,4he Licend Drain Layer named herein to perform
the work indicated below at A0 s on the
side, betwee q`
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 ( , INDUSTRIALJ*ASTE 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
` v
Signed
Connection Char a Paid / 30 is ed Drain a
Tax Collector Issued by
Permit Fee:. Paid $ _
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED ! / (Date)
(Sig)
INSPECTOR
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TOWN OF SOUTH wwDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 0601,
DEPARTMENT POLLUTION CONTROL
Date . . . 11. .`"/ `' �/. . . . . . . . . . . . .
The Sanitary Sewer .x . . . Septic System
at . ./5Z5 '
. . . . . . . . . . . . . . . . . . . . . . . . .
or lot #. . ��. . .
• . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted a Approved
By
I Date
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