HomeMy WebLinkAboutDrain Layers Permit 404 Abbe Road r TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: - Z 6 7 Z
DRAIN LAYER'-S PERMIT
N° 1712
I9 7_L-c
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at Q rf
side, between
on the
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain,
I-aY Main, Other
for
with 7C�Family occupancyor use,
Units, with
Type of Sewage to be co nected under this permit: acres.
SANITARY SEWAGE , INDUSTRIAL WASTES ( OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No.
The undersigned Drain Layer hereby agrees to all the terms and conditions s tlfor heron he permit and the reverse side thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONSlit
f
Connection Charge Paid - Signed
qPermit
d Drain Layer
Tax Issued by7 Collecc)
Fee: Paid $ _ " 1
INSPECTION: Check Number: G "_Lk
INITIAL
FINAL
(Sig)
APPROVED (Sig)
d— (D
PECTOR (Sig)dANIVED
C�
m�Q
14,
� 0 a
cG
70
1 `
V
NO.r.TES
SOUTH WINDS R POLLUTI N CONTROL
LOCATION
OWNER , h
TYPE OF W RK
DATE Q PERMIT PIPE C
INST
INSPECTOR DRAWN BY
SCANNED