HomeMy WebLinkAboutdrain layer permit 58 Sharon Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'.S PERMIT OO 204
, 19
Pursuant to written applic ior, perrpission i ereby grante tthe License Drain Layer named herein to perform
the work indicated to at ���1/CI
� on the
side,
at premises owned by J A Ol
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for J occupancy or use,
with ` Family Units, with acres.
Type of Sewage I�to//be connected under this permit:
SANITARY SEWAGE (n„ INDUSTRIAL S;7 ( ) OR ( )
Connection will be made'with /,'� '
Permit to be issued to
the holder of Drain Layer's License Ng, �! ��S f>4 i Permit will expire on 4-1— 19_77
The undersigned Drain Layer hereby agrees to all the terms and Yonditions 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
Signed ✓ �e-e
Connection Charge Paid Licensed Drain La r
- Issued by
Tax Collector _
Permit Fee Paid $ b y
INSPECTION: Check Number: 0
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
Y 61�
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . 1. -7�. . . . . . . .
The Sanitary Sewer X . . Septic System . . . . . . . . . .
at y,GLUrO>i / -(
or lot #. . . . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted Ad Approved
BY Date ' s