HomeMy WebLinkAboutDrain Layers Permit 704 Mill Pond Drive c;
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TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT
CJ JZ0
Pursuant to written application, permission is h rebp anted to e�,Lice ss, d D i Layer
named herein to.;perform::&he work '-ndicatedt,below at
at premises owned*.' -by whntse address is
and to
Lay House Drains Repair'fYidiYse Dra3, ;Lay Main, Other ,
for `. occupancy or use, with` s
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE (' ), INDUSTRIAL
WASTES ( ), OR '(' ) <ro: :.Connection will .be•made with
Show sketch of proposed work•'or furni$h two (2) copies of separate drawings.
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SPECIAL CONDITIONS
Desired Starting Date ,,::Estimated.Time :for.Completion
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Permit. to lie issued-to._
the holder of `Drainn Layers License . Perinit will expire; shifty
after date of issuance. The un a l dersigned r Layer hereby agrees to al the'.term6 'and
conditions set forth in the permit and the reverse side thereof. Applicant has received
Town Permit No'. andfo.r, CHD�.P.ermit No.
Signed
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Licensefi Drain i Layer
The above named.. Driin Layer h_ as a v4lid license issued bq tfre Stdte of` ConnecEicut and
has filed a satisfactory: bend end i isuuance polity in ,the Lame_ Qf` the�Towh'`of:South:Windsor:
!Engineering .Department.: Date
Connection C Paid Permit Fee;' Paid
Check N
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Issued by
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector Date