HomeMy WebLinkAboutDrain Layers Permit 307 Strong Road (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT 1621
, 19 �7 �a
Pursuant to written applicatior, permission 's bereby granted to the icensed Drain Layer named herein to""p-e-rrfo—rmm
the work indicate below a 9 on the
ti 1
side, between 21
at premises owned by
r
whose address is r
and to /Lay House Drain, Repair House Drain, Lay-Main, Other
for _occupancy or use,
with P Family Units, with acres.
Type of Sewage to be connected under this permit:—
SANITARY SEWAGE (A-), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with
Permit to-be issued to
the holder of Drain Layer's License 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 CONDITIONS
1• "� � AP
.
Connection Charge Paid Q Signed Licensed Drain4�Layer
- � Issued by
Tax Collector
Permit Fee: Paid $ _ / S C`J C)
INSPECTION: Check Number: 92o�
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
` (Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION cC
OWNER
TYPE OF WORK
_ DATE 5 PERMIT Z. PIPE
INSTALLER
INSPECTOR DRAWN BY