HomeMy WebLinkAboutDrain Layers Permit 359 Oakland Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut "(*Z�
List No.: _
DRAIN LAYER'S PERMIT N? 722
07 BE" , 19 A
ursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
t side, between r44t elect SUtft + tMt
at premises owned by-
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for l widmtia
occupancy or use,
with me W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE Al, INDUSTRIAL WASTES ( ), OR
Connection will be made with DPW tO a 2&tftVj k=W a $t&* 45074e at v
dei.a of $.d'
Permit to be issued to - Adw ae 111=1eewi
the holder of Drain Layer's License No. "! . Permit will expire on 0 aawl"T 19 /74
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
Connection Charge Paid Llc6 eed Drain Layer
-- &qqw XO• (03 Issued by X4VU X*AB"49 Jr*
Tax Collector
Permit Fee: Paid $ _ +1
INSPECTION: Check Number:
INITIAL '' (Sig)
FINAL '"""""" (Sig)
APPROVED 4D8 4*Vd' Hr df4 i (Date)
1
P (Sig)
INSP t'OR
1
i
!t
ell Owl
ok
/evo _.
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