HomeMy WebLinkAboutDrain Layers Permit 37 Overlook Road DEPARTMENT. OF PDL_LT10N CONTROL
' BIP No.: -- .
South`indsor, necticut
List.No.. +-
DRAIN. LAYERS PERMIT 7#. O 996
4x,
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ursuant to written-a-pp"lca or; permission is hereby,granted to-the Licensed Drain Layer named herein to perform°',
the work indicated below"at ' 7 fl+ rwA1r:•�..! ,'�Lori�) 'on the
side, between' Atwir W 4 X6 .at premises owned byy, ��_�, ���►�_ -�� � ,
whose address is aM.r�w
and to �_Lay House Drain, Repair House Drain, Lay Main; Other
E for oceupey or use,
with 1 Family Units,with arrres t
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES.. ), ohs
Connection will.be made with
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dsvth— oi� f' "' 5;
a
e
Permit to be issued to 1 A&u tdi=
the holder of Drain Layer's License No. Permit will expire on-14 ofl9
The unders ned Drain Layer hereby agrees to all the terms and conditions`set forth on the g y y g permit an .they tev tsi k1de
thereof. Applicant has receivgd'Town Permit No. and/or C HD Permit No.
for street excavation.
SPECIAL CONDITIONS- ,
Signed
Connection Charge Paid J1"'t2"'?5 : ease ra r
AOi 8 Issued by KILVfa AligWat, •ram
Tax-Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
EINAL
APPROVED (Date)
4
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