HomeMy WebLinkAboutDrain Layers Permit 258 Abbe Road -11
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
Y South Windsor Connecticut B/P No.:
List.No..
DRAIN LAYER'S PERMIT NO 1679
19_L_L_
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at )qAl6 Y 9cl on the
side, between
nn
at premises owned b r-&--C, �(c` '�-e er C
whose address is
and to --LZLay 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 (t ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with.
Permit to be issued to C_ LICkI C Qh 51, 6D
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 t
_'�(l `—
f U •
Signed
Connection Charge Paid 77 7 WLicensei ayer
Lo
Tax Collector Issued by /�— CDC
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
7 (Sig)
IN CT R
6
I
1
i
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION S
OWNER Zs,,Jt
TYPE OF WORK
DATE '711/-/Z PERMIT 7 PIPE G,''
INSTALLER
INSPECTOR DRAWN BY �� '