HomeMy WebLinkAboutDrain Layers Permit 235 Orchard Hill TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: •6►Qir
DRAIN LAYER'S PERMIT NO 640
"Pt r 39 1'4 19
23S
Pursuant'to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at !t 5 12 rv?rrid Ifill • on the
side, between
at premises owned by Nast* 01*10
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for RWdft+,iAl 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 SIX ••iaahi PVC
Permit to be issued to Pob*A L; Davis
the holder of Drain Layer's License No.- 35 Permit will expire on 03a 19 2,
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
/z,Signed .r
Connection Charge Paid L censed D a`in ayet
Ee-1"i* Issued by F S.'r.amr t
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED f1�AJ. (Date)
40"10 7* (Sig)
INSPECTOR
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