HomeMy WebLinkAboutDrain Layers Permit 590 Sullivan Avenue TOWN OF SOUTH Wt N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT List�O .s 6-
129
19- —
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 590 Sullivan Avenue on the
north side, between Kennedy Road & Troy Road
at premises owned by. Joseph R.C. & Anita J. Roy
whose address is 388 Abby Road, South Windsor
and to)Lay House Drain, Repair House Drain, Lay Main, Other
for 1 occupancy or use,
with Me, B.♦ Family Units, with acres.
a ei
Type of Sewage to be-connected under this permit:
SANITARY-SEWAGE INDUSTRIAL WASTES, OR
JLAA
onneccttioon w11 be made with ,,,
Permit to be,issued to
Vito—P
^�*u
the holder of Drain Layer's License No._ �� Permit will expire on fth OP
�s 1
The undersigned Drain Layer hereby agrees t5 and conditions set forth on the'Pi6rnTi'r9-ncTTffe r everse s
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
eft"
Signed
Connection Charge Paid �`` ,irain Layer
(Sig) Issued by r" t6 11 1 1 4'
t` ax o ec or •
t Installation made, but Abt i>>aq*cted Permit Fee: Paid $
by Biwa of South WAAAdor Steer Department.INSPECTION: Cho*Cho* ((►r; .,� A2
(Sig)-
Nerrin-ldwardet r u (Sig)
Sig)
is
APPROVED (Date)
(Sig)
INSPECTOR
ASSESSMENTS AND CHARGES
FOR
SANITARY SEWER SERVICE
Town of South Windsor, 1540 Sullivan Avenue 644-2511
Department of Pollution Control, Vibert Road, South Windsor 289-0185
Occupant Account No.
Addres s
Owner
Address
Assessor's Location: Lot# Map " Block Parcel
Land Records: Volume Page
Zoning: Use:
Area s Acres
t
F
9
Sketch
(Not to Scale)
i
v "e
4
Assessment Computation:
Assessable Footage x Front Foot Assessment $ _ $
Number of Laterals i x Lateral Assessment $ = $
Total Assessment = $
Assessment Due Date
Deferred Yes No
Caveat Filed Yes N No
Paid in Full Yes No
To be paid in installments Yes No
9 Annual Payments of $ plus 5% on unpaid balance
Lien Filed Yes No.
Connection Charge Computation:
Number of Units:
(Residential, School, or Church) x Unit Connection Charge $ = $
Number of Acres: }
'
(Other than Res., Sch., or Ch.) x'Area Connection Charge $; " $"`" - $ ''
r Connection Charge Paid in Full: Date
Collector of Revenue
Assessment& Connection Charge Computations Approved
Town Engineer
t,