HomeMy WebLinkAboutDrain Layers Permit Lot 32 Savin Drive a ." .., .. •err'"
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N? 2476
190a /
icatior, permission is reby granted teethe Licensed Drain Layer named her to; erform
Pursuant to written appl
the work indicated below at U ' Lc"'4 / f } on the
side, between
at premises owned by
whose address is
and to Lay House-Drain, Repair House Drain, Lay"Main, Other ,
for occupancy or use,
with Family Units, with acres.
t Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No..11
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 Licensed Drain Layer
rr ..
Issued by
Tax Collector
Permit Fee:. Paid $
Check Number:
INSPECTION:
INITIAL (Sig)
AL . , �- (Sig) .
(Date)
(Sig)
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