HomeMy WebLinkAboutDrain Layers Permit 115 Pierce Road i
TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT NO i916
Pursuant to written applicatior, permission is hereby granted to the Li used Drain Layer named herein to perform
1
the work indicated below tzz on the
side, between
at premises owned
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 con ected 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.
SPECIAL CONDITIONS
IAIIao �! Signed
Connection Charge Paid 'q06, 0 0 icensed Drain Layer
Issued by
Tax Collector 41 )
Permit Fee:. Paid $/ _
INSPECTION: Check Number: • 0&6 3
INITIAL (Sig) `
FINAL n (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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