HomeMy WebLinkAboutDrain Layers Permit 390 Nevers Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.: _
South Windsor, Connecticut
List No7l.,-2
DRAIN LAYER'S PERMIT NO 2413
.� _ 1) , 19 do-)
Pursuant to written applicatior, permission is ete granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, betwe n
at premises owned by vtz
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for W.4qoccupancy or use,
with Family Units, with acres.
Type of Sewage tVbe onnected under this permit:SANITARY SEWAGE ( DUSTRIAL WASTES
Connection will be made with
Permit to be issued to. e44,AJA
IF
the holder of Drain Layer's License No. Per it 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
14 69 Signed
Connection Charge Paid Q� 0 d censed Drain Layer
Issued by
QQ� .Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
C. dN
(46)
�9t� NCvers)
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