HomeMy WebLinkAboutDrain Layers Permit 37 Robert Drive (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER"S PERMIT NO 1605
� 7 T ' I9-2s—
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at 17 46rl'„2 on the
side, between
at premises owned b e,
whose ��Lay
and toHouse Drain, Repair House Drain, —Lay Main Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage ;to be c cted under this permit:SANITARY SEWAGE ( �, IN
WASTES .( ), OR ( )
Connection will be made wiiiii ~�
r
Permit to be issued to 0
the holder of Drain Layer's License No.,. 2-Q-5- !2 24 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
Signed
Connection Charge Paid 4_do— Licensed Drain ayer
`�J L(�— Issued by
Tax Collector a=o-z�
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL > �/� (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
1
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION ( '
OWNER
TYPE OF WORK
DATE PERMIT n .5 PIE •f
INSTA LE
INSPECTOR DRAWN BY