HomeMy WebLinkAboutDrain Layers Permit 31 Andmar Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut /f f
List.No.:
DRAIN LAYER'S PERMIT NO 1493
A a ST --?1 , 19 1?
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 4a7- 2A �ogndO ., 424 P 'a-,31 on the
side, between
at premises owned by
whose address is
and to L Lay House Drain, Repair House Drain, Lay Main, Other
for IQE.S/9E/V'Tl`9 occupancy or use,
with ONR Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ()Q, INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with [// 1, y
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
Signed � Vl,.
Connection Charge Paid Li�ceense Drain Layer
Issued by v -"".G�4 e
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: = (02,1
M
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date) SCANNED
(Sig) �J V , v
INSPECTOR
N
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I
5�o'
1
Iil
AN D MAR
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION AUdmaL Loi 28
OWNER U� R
TYPE OF WORK
DATE 8 Ti 1-78 PERMIT 1493 PIPE ol Pvc
INSTALLER Reed
INSPECTOR G.T DRAWN BY U.L.
SC,NNF-D