HomeMy WebLinkAboutDrain Layers Permit 19 Oakland Road (2) TOWN OF SOUTH W N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
s
List No.: _
DRAIN LAYER'S PERMIT Np 52483
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Pursuant to written applicatior, ermissio is hereb .granted to the Licensed Drain Layer named herein to perform
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' the work indicated below at �� �'/(t, U�'Y' ��
on the
side, between
at premises owned by / { y yF ,cu_.,,_
whose address is
.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 ( ), INDUSTRIAL WASTES .( ), OR {
Connection will be made with
Permitto 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
06�SSignea
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Connection Charge Paid ��fQ, f/L Licensed Drain Layer
. Tax Collector Issued by
Permit Fee:. Paid $
INSPECTION: Check Number: ���,
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)