HomeMy WebLinkAboutDrain Layers Permit 48 Rosemary Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.: _S 4v 09 7
DRAIN LAYER'S PERMIT
O 903
30 J 1 19_ ,
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 48 lbamb= IMN (Dsk Q=T* An on the
XorU side, between etitA LMS Md Abby RDad Utmaioa
at premises owned by PER, Robert O• & 1 mej D•
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for r0aidentiej
with 01A ��) occupancy or use,
Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with AX-JAch (6") ljastb Are--a lateral knows as St 5460
Permit to be issued to Jmee De Aoeto
the holder of Drain Layer's License No. W9"2r3 Permit will expire on 30 8egt40bNr 19—ZL.
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
i
Signea
Connection Charge Paid 07/0 Lic.ensed~Drain Layer
Feosipt No, $17 Issued by I(OIVJ a Zdvarde, Jr•
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAJ- (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
p
i
48
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