HomeMy WebLinkAboutDrain Layers Permit 145 Norton Lane 4
TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No..
DRAIN LAYER'S PERMIT NO 1537
NaVEmBEp— G; , 19"_
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between at premises owned by �� /,!�n
whose address is
and to -_2LLay House Drain, Repair House Drain, Lay-Main, Other
for �E_S`/2EIVnAJA occupancy or use,
with ANC Family Units, with acres.
Type of Sewage to be connected under this permit-.
SANITARY SEWAGE ()Q, 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
Signed
Connection Charge Paid Lic nse Drain Layer
Tax Collector Issued by
Permit Fee:. Paid $
INSPECTION: Check Number: b
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
11- 8- 78'
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