HomeMy WebLinkAboutDrain Layers Permit 707 Nevers Road TOWN OF SOUTH Wi N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 2380
19�
Pursuant to written applicatior, permission is ere y granted to the Licensed Drain Layer named herein to perform
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the work indicated below at U � on the
side, between'
at premises owned by V—b-m
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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 ( j, 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
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Signed
Connection Charge Paid •Z/Q Q •d U Licensed Drain Layer
Issued by
Tax Collector o
Permit Fee:. Paid $
INSPECTION: Check Number: =c9. _
INITIAL (Sig)
FINAL (Sig.)
APPROVED (Date)
(Sig)
INSPECTOR
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NOTES SOUTH 14INDSOR POLLUTION COW L
LOCATION 20 17e IP_y
OTrlENTER 14 -d r!A
TYPE Or WORK S
DATE - v / PERMIT OPIPE
INSTALLER
INSPEGa.OR DRAWN BY S'.
PAQUETTE, INC . ; , .
PAVING SEWER CONSTRUCTION PLUMBING HEATING
260 Prospect St.
Joseph P uette Box 8231
Clyde St. mand East Hartford,Conn.06108
d Phone: 569-0240
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585 DENNISON NATIONAL COMPANY
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