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Home My WebLink AboutDrain Layers Permit 115 Skyline Drive (2) TOWN OF SOOTI WIIjOSOR *° ©,''° :,EPAR.TMENT OF- POLLUTION CONTROL B/P No.: , . { South Whidsor,`Connecticut List No:. . "" � DRAIN LAY-ER".S PER-M•I•T X? Pursuant to written applicatior, perstiss'on'is hereby granted to the Licensed Drain Layer named herein to perform' the work indicated.,below at on the r side, between at premises owned by whose address is nand to AL—Lay House Drain, Repair House Drain, Lay Main, Other for occupancy or uSe , 'with- i" of Units, with acres. ' Type of Sewage to be connected under this permit: SANITARY SEWAGE j`, INDUSMAL'W.f1STES'.( J,• OR X I Connection will be made wit )' - Permit to be issued•to the holder of Drain Layer's License No. Permit will expire on The undersigned Drain Layer hereby agrees to all the`terms and conditions`set forth on the.permit and the reverse side thereof: AppIicwdt has received Town Permit No. and/or C H D Permit No. for street excavation. c, SPECIAL CONDITIONS �. e Ail ' S lg d Connection Charge Paid ' `r a _:_rLicensed grain Layer , - Issued by .: �..�M► ,' 4 .•, Tax:Collector ' Permit. Fee:. Paid INSP,ECT.ION:;: IA . Check Number: - .. . `. - INITL - (Si`JS / FINAL (Sig) APPROVED vt � - (Date) INSPECT? .�