HomeMy WebLinkAboutDrain Layers Permit 20 Oakwood Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT No 1387
19
Pursuant to written applicatior, per }ssi n is hereby ranted to the Licensed Drain Layer named herein to-perform
20 r✓ ',
the work indicated below at °C v on the
side, betwe
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.
Type of SewagXewith
connected under this permit:
SANITARY SEWAGEINDUSTRIAL WASTES .( ), OR ( )
Connection will be ma
Permit to be issued to
the holder of Drain Layer's License No., r26h,3Q R 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 1 Licensed Drain r
~� Issued by
Tax Collector
Permit Fee:. Paid $ _LS
INSPECTION: Check Number:
INITIAL• (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
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