HomeMy WebLinkAboutDrain Layers Permit 1509 Summer Hill Dri TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No .
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N? 2657
19 �02
Pursuant to written appli atior, permission is hereby granted to the Licensed Dra' Layer named her
= on
o perform
�--. r,
the work indicated below at C3i�C the
side,b ween
at premises owned by C
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 ( ), 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
Thi 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
Signed
Connection Charge Paid �) Licensed Drain Layer
--
Issued by
x Collecto T
Permit Fee:. Paid $
v INSPECTION: Check Number: _ 3
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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