HomeMy WebLinkAboutDrain Layers Permit 22 Raymond Road TOWN .OF SOU TN WINDSOR
DEPARTMENT OF POLLUTION,CONTROL
South Windsor, Connecticut BAP No.: +�
List No.:
DRAIN LAY `R rfs"P�'f3`Ait I T No 979
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Pursuant to wii ten applcatior, permission is hereby granted to``the Licensed Drain Layer named•herein to-perform'
the work indicate, aelow;at.__22 ItilliM&mod- on the
gazft side, betwee
at premises owned by
whose address is
-wnd-ro x Lay House Drain, Repair House Drain, Lay Main, OClxer ,
r 4" B
for 3ihli dl ;
-; occupancy or use,
with Family Units; with acres.,`,'
Type of Sewage to be connected under this permit:
SANITAJh- SEWAGE (X', INDUSTRIAL WASTES OR
Connection will be made with aft•iineh 611) jamstjo DJ to l� �tn1i1° ` ,,,, g e i it it
Permit lo.,be issued to Jew A. •�+•
the;holder of Drain-I,.ayer's License No. 044 Permit will expire one JA"kVl, 1
Tle undersigned barn Layer $ere'by'agrees to all the terms and. onditions set forth on the permit a.d he tederse sid`e
- thereof: Applicant has received Town Permit No. "' b Wand/or H D Permit No.
for street e� vat.tszn
SPECIAL CONDITIONS
Signed ;
Connection Charge Paid gQ*,Og6n?5 icensed Drain. aver-
- ff o.• 1 874 Issued by IdLK"..• wfts
r► t3 ,
Tan Collector v t
t,: µ Permit Fee, PAid $
INSPEC 'IONr Check-Number: 210
/ Q
. .INITIAL
FINAL:;: Jliy3 // O "'r*M.. (Sig)
APPROVED 43wel t . (Date)
(Sig)Sig)
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