HomeMy WebLinkAboutDrain Layers Permit 198 Norton Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: —(; Z5 6 3--
DRAIN LAYER'S PERMIT 1599
3 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
i
at premises owned by 6
whose address is (7. � �r �.
and to Y Lay House Drain, Repair House Drain, Lay-Main, _Other . ,
for occupancy or use,
with Family Units, with a acres.
Type of Sewage to be connected under this permit:_��Q�7�,•
SANITARY SEWAGE (INDUSTRIAL WASTES OR ( )
Connection will be made with �d fir
Permit to be issued to
the holder of Drain Layer's License No.`Z,Q:Z ® , �� Permit will expire on 7 19
The undersigned Drain Layer hereby agrees to all the termsrand 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 4LO C7 Licensed Drain Layer
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: . _57
INITIAL (Sig)
FINAL cy (Sig)
APPROVED -- /� 7/ (Date)
INSPECTOR (Sig)
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i 37
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION LO- '�" .h� ,• ��
OWNER 1 IL ` c/2
TYPE OF WORK W QY
DATE -/ - PERMIT PIPE
INSTALLER
INSPECTOR DRAWN BY