HomeMy WebLinkAboutDrain Layers Permit 50 Rainbow Trail TOWN OF SOUTH WI N DSOR
r DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: _ (o
DRAIN LAYER'S PERMIT N? 1364
, 19 / 7
Pursuant to written appli/c�at�7) permiss;F0
hereby granted tocens�d Drain Lay�eLr named herein to perform
the work indicated below at r / In 6�J �`�/ ,��� on the
side, between
at premises owned by—
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 ,, INDUSTRIA WAS OR ( )
Connection will be made with f
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
—7
fSigned v JV467,017�Layer
Connection Charge Paid -/l Licensed
JZ — 1�—7 7 Issued by
Tax Collector
Permit Fee:. Paid $ _
INSPECTION: Check Number:
INITIAL (Sig)
FINAL q (Sig)
APPROVED ' x ` 7 7 (Date)
6 2 t
(Sig)
INSPECTOR
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BELOW
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NOTES SOUTH WINDSOR POLLUTION CONTROL
f• �� /i� LOCATION lcJ
OWNER
TYPE OF WORK /7r,
DATE/2-A -77 PERMIT V PIPE
INSTALLER ,
INSPECTOR / DRAWN BY
TOTN OF SOUTH WI
1'OVM HALL NDSOR
SOUTH )rINDSOR, CONN• 06074
DEPA
RT1�1EN�-. POLLUTION CO
NTROL
Date
The Sanitary Sewer
at
Septic System. ��� . . . . .
or lot
in accordance with the has been installed and c
and regulations. T'°R,n of South ompleted
Windsor ordinances
Accepted
Approved.
3y
� l
Date /2� _7