HomeMy WebLinkAboutDrain Layers Permit 206 Skyline Drive TOWN OF SOUTH
WINDSOR
DEPARTMENT 'OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYEW5 'PERMIT, 988
10 November , 19 _
S/,l L6JE
Pursuant.to written applicatiQr, permission is hereby granted to}the Licensed Drain Layer named herein to perform
the work indicated:below at :L4+f: C,+i�oT.�db on the
side, between
at premises owned-by
whose address is
and to M :Lay House Drain, Repair House Drain, f
-Lay:Main, Other
for
.occupancy o use,
with. on* Family Units, with' acres.
Type of Sewageao be connected under this permit:
SANITARY SEWAGE (XX), INDUSTRIAL WASTES OR ( r )
Connection will be made with .411 Y l neht van . a V1 as
Permit to be issued to Aet�.ti� ` �aeel4nne�
the holder of Drain'Layer's License Nonnw2w Permit will expire on 10 a"t1owto 1
91
The undersigned Drain Layer hereby agrees to all the ter6.
ms and conditions set forth on the permit and he r� everse sid
'thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for`street excavation.
SPECIi4L dOTONS
Signed t..
Connection Charge Paid Luense Drain La er
y
Issued by Its %%Wft h44M
Tax Collector
Permit Fee:. Paid $ -_ 'I,�MM
INSPECTIM Check .Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED - (Date)
ECTOR (Sig)
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