HomeMy WebLinkAboutDrain Layers Permit 242 Oak Street (2) � 'O IIN +0 SOUTH "DSOR A
DEPARTMENT OF'_POLLUTION CONTROL .
B/P No.: '
South Windsor, Connecticut ,'
List No.: "14 r
DRAIN LAYER'S .PERMIT
: T° 596
19
Pursuant to written applicatior•, permission,is hereby granted to the Licensed Drain Layer named he-rein to-perform'
the work indicated:below'at . .• on the
' side, between t
at premises owned by . _.
whose address is r` +
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 ( ), INDUST1tIAI; WASTES
' !
Connection will be madv with r .
GF
h
L
Pern it.to.,be ,UM
issued,to
.
"4*0
the holder of Drain;Layer's Ltctnse 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.
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f6f.Street excavation. 4
SPECIAL CONDITIONS
3 .. Signed
Connection Charge'Paid` a Licensed Drain Laycc
Issued'by
Tag Collector
Permit Fee:. Paid $ _
INSPECTION: Check Number:
INITIAL 1 .� (Sig)
FINAL (Sig)
APPROVED _ r (Date)
v (Sig)
INSPECTOR