HomeMy WebLinkAboutDrain Layers Permit 209 Norton Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT NO 1695
1977
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perfo
rm
the work indicated below at L-a kor4-6h r
on the
side, between
at premises owned by—
whose address is -
and to Lay House Drain, Repair House Drain, Lay Main, T_Othe
for '� occupancy or use,
with Family Units'. with acres.
Type of Sewage to be connected
WASTES connected under this permit:
)
SANITARY SEWAGE C, c
.( ), 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
00 Signed
Connection Charge Paid ZX00, Licensed Drain Layer
�z10' 7" 3'79 Issued by
Tax Collector
�O
ZA2 t-
Permit Fee:. Paid $ Z5_
INSPECTION: Check Number: S
INITIAL (Sig)
FINAL (Sig)
APPROVED Q (Date)
(Sig)
INSPECTOR
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3
O Q,
,� SI
P
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NOTES SOUTH WINDSOR POLLUTION CONrRQL
LOCATION '
OWNE
TYPE OF W
DATE L� PERMIT
INS L R
INSPECTOR RAWN BY