HomeMy WebLinkAboutDrain Layers Permit 24 Saginaw Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER"S PERMIT N? 1854
' 19
Pursuant to written applicatior, permission is hereb ranted to the Licensed Drain L er named herein to perform
1
the work indicated below at on the
side, between
at premises owl 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 (M0)*,*INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with
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
Signed
Co a tion Charge Paid —�J� Licensed M. ayer
��Z)Issued by
Tax Collector y- - 7
l/
Permit Fee: Paid
INSPECTION: Check Number.
INITIAL (Sig)
FINAL (Sig)
APPROVED 9 (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTRO
LOCATION
OWNER
TYPE OF WORK
DATE " PERMIT PIPE 'r
INSTALLER/c
INSPECTOR _DRAWN BY '> r