HomeMy WebLinkAboutDrain Layers Permit John Fitch Boulevard (3) .,•- _
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TOWN Of SOUTH WI N DSOR
z DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMITO 59
19
Pursuant to written application, +permissi a', s hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at .4 '7 on the
side, between
at premises owned by SILK »-0�"
whose address is M PA P A sk 4 Ai at�4
and to Is Lay House Drain, Repair House Drain, Lay Main, Other ,
for +�� ►#r occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, , INDUSTRIAL WASTES, OR
Connection will be made with AKo± .?
Permit to be issued to oc - > t
r.
the holder of Drain Layer's License No. Permit will expire on A "`/ ► 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and reverse side
thereof. Applicant has received Town.Permit No. +* and/or C H D Permit No.
F .:.`for=srreeY'egeava�i`tfin. •�_ -��- - -- : . ., :: _. :, _....� ,; �-.. ,- -
SPECIAL CONDITIONS
r Sigred€ ,
Connection Charge Paid Q- L censed Drain Layer
-(Sig) Issued by �' . �+5rt"! "�&
Tax Collector
Permit Fee: Paid $ ' '�" "`
INSPECTION:
INITIAL C2 "" �'.,.�r (Sig)
'FINAL,,--Y (Sig)
T,
APPROVEDY " {Date)
(Sig)
PECTOR