HomeMy WebLinkAboutDrain Layers Permit 61 Rainbow Trail TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut 1�C19
List No.:
DRAIN LAYER'S PERMIT NO 1354
J/- l3- , 19 2 2
Pursuant to written applica for permission is a by ante tote Lic sed Drain Lae er named herein to perform
the work indiczO below at / Z �• �� ofz on the
A.0 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 (Nr,, INDUSTRI WASTES . ), OR ( )
Connection will be made with ~ V
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
/(Q Signed
Connection Charge Paid / T Licensed Drain Layer
Tax Collector Issued by C_
Permit Fee: Paid $ _ �U
INSPECTION: Check Number: _ 1
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
1/2P -7. . . . . . . . . . .
Date . . . _ . . . . . . . . .
The Sanitary Sewer . ><. . . Septic System . . . . . . . . . .
at . . . . . . . . . . . . . . .
or lot #. . . .,e�!. . . . . . . .. has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Acc d d Approved
Date !/4 /
�� ,�a�,XI ���