HomeMy WebLinkAboutDrain Layers Permit 33 Murielle Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut G f 3 D
List.No.: _
DRAIN LAYER'-S PERMIT NO 1360
i9�
Pursuant to written applicatior, ermi sion is ereby gra/�ed to the Licensed in,,�Laayer named herein to perform
the work indicated below at !' G(/17J'1r \, 33 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
jll— Signed / r
Connection Charge Paid / J Licensed Drain La er
' Issued by
Tax Collector
Permit Fee: Paid $ _ u V
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED —�� 27 (Date)
(Sig)
INSPECTOR
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/yv17elie Dr/�
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5OIJTH W tN�SOk j 1.UTiC '%j CO1VT POL
INS tALLE R
�USpECTOR Cl IDP4WNDY .�_
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date
The Sanitary Sewer
x . . Septic System . . . . . . . . . .
. . . . . . . . . . . .
at . . . . . . . . . . . . . . . . . . . . . . . .
2 has been installed and completed
or lot #. . • •
in accordance with the Town of South Windsor ordinances
and regu tions.
Accept d a Approved
� j 1 � r Date - `�