HomeMy WebLinkAboutDrain Layers Permit 30 Pine Tree Lane (2) TOWN OF 4, UTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
S-
DRAIN LAYER' S PERMIT '0 38 ►
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Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at J 4*6 on the
side, between YANOW Ar
at premises owned byJUiMW K§jW4=
whose address is 11111111110
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with a Ina (d) �
Permit to be issued tc V
the holder of Drain Layer's License NV*MKq . Permit will expire of
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the-reverse s"ide
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
4 SPECIAL CONDITIONS 10 1 S"
Signed .�
Connection Charge Paid Licensed Drain Layer
Po t so (Sig) Issued bjl!�A* *MOW 4fty
Tax Collector
Permit Fee: Paid
INSPECTION: � MwwM..drMr
INITIAL ._ (Sig) .
FINAL. : (Sig)
APPROVED 0 Z,, (Date)
(Sig)
All INSPECTOR