HomeMy WebLinkAboutDrain Layers Permit Building 5, Parkview TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 2472
Pursuant to written applicatior, permission is here,
ere granted to the Licensed Drain Layer named.herein to perform
the work indicated below at r ( �(_ .J�v j'l on the
-side, be; ween -}
at premises ownedff �� tt (� ✓1 l✓
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 connected under this permit:
SANITARY SEWAGE { j, 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`
� ao
Signed
Connection Charge Pai Poo. " Licensed Drain Layer
JA19 a-A4 12—
Issued by
T x Collector r-�ti1��,.� c, )(.�,�.en
Permit Fee:. Paid $
INSPECTION: Check Number: -
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INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR