HomeMy WebLinkAboutDrain Layers Permit 24 Ronda Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.:
DRAIN LAYER',S PERMIT -
N° 1998
19 eo
Pursuant to written applicatior, permission
is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the
side, between
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain,
Lay-Main, Other
for
�' �-x•-�•�-"' occupancy or use,
with �/U_Eamily Units, with
acres.
Type of Sewage to be connected under this permit: ale
SANITARY SEWAGE ( `, INDUSTRIAL WASTES OR
Connection will be made with
Permit to be issued to
i
the holder of Drain Layer's License No. Permit will expire on 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.
for street excavation, and/or C H D Permit No.
SPECIAL CONDITIONS 44
Signed
Connection Charge Paid 00
Licensed Drain Layer
Tax Collector Issued by
Permit Fee: Paid $
INSPECTION: Check Number: T^3PO
INITIAL (Sig)
FINAL _ (Sig)
APPROVED — Z. 0 (Date)
(Sig)
INSPECTOR
N
i
t
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NOTES
Under r o o 1- / r�� SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF
DATE OPERMIT PIPE
INSTALLER
!ley V
INSPECTOR D WN BY
4