HomeMy WebLinkAboutDrain Layers Permit 403 Abbe Road Extens TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut List No.: _
DRAIN LAYER'.S PERMIT NO 1705
J ( y 17 191
Pursuant to written applica/tior, permission is 'hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at l� U �i � 1 }
e-X ` on the
side, between
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
r< Q
Connection will be made with 7 U C—
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 fr//O 0A K A,- 1 11 1 N � ��d L � y
PAZ— 01-0 n e-V- J
\ Signeu
Connection Charge Paid J L. Licensed Drain Layer
YG '-Z Issued by
Tax Collector
a �
Permit Fee: Paid $ _ l-
INSPECTION: Check Number: 2 2
INITIAL (Sig)
FINAL (Sig.)
APPROVED 79 (Date)
`(Sig)
INSPECT
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE PERMIT PIPE
INSTALLER
INSPECTOR DRAWN BY
Y