HomeMy WebLinkAboutDrain Layers Permit 44 Saginaw Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT N? 1646
(Grp Z. , 19:_
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
s
at premises owned by
whose address is
and to Lay House Drain, _ Repair House Drain, Lay Main, Other ,
for // 1®,t' occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit: <�1
SANITARY SEWAGE (k INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's I;icense 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 C TION-424
Signed
Connection Charge Paid _ Z — Z Licensed Dr a' ayer
( Issued by
Tax Collector
Permit Nee:. Paid $
INSPECTION: Check Number: Z-D 32
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
,oC.
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