HomeMy WebLinkAboutDrain Layers Permit 294 Pierce Road Y TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
DRAIN LAYER'S PERMIT Np 1821
19�
Pursuant to written applicatior, permission is hereby granted to the icensed Drain Layer named herein to-perform
the work indicated be w at L on the
7
side, between
at premises owned by
whose address is �� C+
IF
and to -Lay House Drain, . .Repair House Drain, Lay-Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage;tobe c cted under this permit:SANITARY SEWAGE ( �, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to 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.
SP CIAL CONDITION
�qip S//4,/7 9 Signed
C nne rion Charge Pai (� eased D Layer
c► i9 y7
IP � Issued by
Tax Collector �4 ) �4
Permit Fee:. Paid $ �D�
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED 09 (Date)
(Sig)
INSPECTOR
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t
I
o - co
rn �
ELI
n
(
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 2 "
OWNER
TYPE OF WORK
DATE VERMIT PIPE 6
INSTALL,EA '
INSP CTOR RAWN BY