HomeMy WebLinkAboutdrain layer permit 845 Sullivan Avenue TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _ 2
DRAIN LAYER'S PERMIT 11T? 1343
19
Pursuant to written applicator, pris ion is hereby grante to he Licensed D in ayer named herein to perform
Jthe work in ted low at � �`J� on the
j'w side, between ! C/
at premises owned by—
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE , INDUSTRIAL W TES ,�K), RFL
Connection will be a e with
Permit to be issued to f
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 TownPfrmit No. zo and/or C H D Permit No.
for street excavation.
�SPE CONDITIONS
�f/ Signed- '�ex4z-lou
Connection Charge Paid /I l� Licensed ITrain Layer
1/ 7J Issued by
Tax Collector C_
Permit Fee Paid $
INSPECTION: Check Number: �-
INITIAL (Sig)
FINAL —7 (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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