HomeMy WebLinkAboutDrain Layers Permit 388 Abbe Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _ ` y"
DRAIN LAYER'S PERMIT NO 1682
, 19 ?�
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at x �-
-on the
side, bet yeen
at premises owned by a p
whose address is
and to -Lay House Drain; Repair House Drain, Lay Main, Other
for
occupancy or use,
with Family Units, with acres.
i
i
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( j, INDUSTRIAL WASTES ( ), OR
Connection will be made with / ��� 1. 1^ C a ti f
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 'l
Connection Charge Paid Li,.icen ed ay
`t- y Issued by
;4
Tax Collector `
Permit Nee:. Paid $ _
�E _
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED D 7 (Date)
U (Sig)
INSPECT R
t
�/5 BEND
388 22 t)ENID
z3�
h I
-2 /*
BF wfl
N
`�6 I
w
p
Abby
NOTES SOUTH WINDSOR POLLUTION CONTROL
wATE7Q- TE-ST ok LOCATION 39a A66% Roo d
OWNER An."�,- P o
TYPE OF WORK 1.3c�A l - Vvr,',r, +c sf
DATE o PERMIT /Ga $-a PIPE " Pvc.
INSTALLER c,o,
INSPECTOR L)I-- DRAWN BY 0/..,.