HomeMy WebLinkAboutdrain layer permit 959-1003 Sullivan Ave TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT ust NO* 8-60097N0 131
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the -
--&3. side, a
�r��c.rya—a�axA�--A�-r�er-acmi19--tM ViAl ft"'.�—
VA++-&ae qrj" at premises owned by
whose address is 99 cow
�r
• No-CuRwr. Cam,
and to "XK Lay House Drain, Repair House Drain, Lay Main, Other
for commenj l occupancy or use,
with Family Units, with 7.8 acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued toJ.!! Clan (60 Tna. (#ds L.'Ginza)
the holder of Drain Layer's License No. Permit will expire on 15 #ctabgr 1922 .
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
Signed
Connection Charge Paid 1 0&1,-72 Licensed Drain Layer
(Sig) Issued by RO i V*Ak
Tax Collector
Permit Fee: Paid $., �
IN ECTION: �`
INITIAL (Sig)
FINAL r (Sig)
APPROVED— (Date)
(Sig)
INSP CTOR
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