HomeMy WebLinkAboutDrain Layers Permit 10 Pine Knob Circle (2) TOWN OF SOUTH W1 N DSOR
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DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT �p 513
19 7�
Pursuant to written applicatior, permission is'he-reby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
S'T side, between��/p/%U�
- at premises owned by_- /li1oP/rl.�GlLL
whose address is
and to , Lay House Drain, Repair House Drain, Lay-Main, Other
for T.,;f,- occupancy or use,
with Family Units, with acres:
Type of Sewage to be connected under this permit:
SANITARY SEWAGE 06'. INDUSTRIAL WASTES .( ), OR
Connection will be made with Se k /AA cN
Permit to be issued to ro „z
the holder of Drain Layer's License No. T-2-0.( 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 l��ii4.� L,��r/L �o �'Gri C/�i ��� � Q,gc•,rFi�c
\:f',Epri r TAB.¢
Signed
Connection Charge Paid /_.? ? 73 Licensed Drain Layer
Issued by la --,/�/� /,�J, fli�/�lt[✓/�'.q�H�.� C//pi
Tax Collector
Permit Fee:. Paid $ _1.Jo
INSPECTION: Check Number:
0
------ ---- INITIAL / r _ *�S-o'i� � -(Sig)
FINAL /T_C,/I.'�3 %/�'✓J 1.��-�+ 1�60r �`' (Sig)
APPROVED (Date)
(Sig)
INSPECTOR .