HomeMy WebLinkAboutDrain Layers Permit 394 Abbe Road _ _ y
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION, CONTROL
South Windsor, Connecticut B/P No.:
List.No.: _ 45
DRAIN LAYER'S PERMIT NO 16$3
/ , 1979
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at y y
on the
side, between 1
at premises owned
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 WASTES _( ), OR ( )
Connection will be made with
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
Connection Charge Paid Licen ed Drain Layer
J w1
. Issued by
Tax Coilecto
CV 0
• Per4Fe:. id $ _
INSPECTION: Check Number: =_ �
INITIAL r (Sig)
FINAL (Sig)
APPROVED (Date)
INSP C OR
W y
L n/O o-
GGp U
� CL
f
0
y �71
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION A�b� c
OWNER , z c,..._ F+ Ile r
TYPE OF WORK I�-sgca l! )a� Pre-, (,oa Pr -7,T
DATE /! PERMIT /b PIPE , "')PLC-
INSTALLERR (2Dv vi s
INSPECTOR