HomeMy WebLinkAboutDrain Layers Permit 032 Ash Road � `
TOWN F SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL r B/P No.: 21-R
South Windsor,Connecticut
List Na.:
DRAIN LAY-ER',S PERMIT
p 695
Ootobfr
1971
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated:below at .32 4h ftMon the
AMU side, between am** a J*rjA Lme
at premises owned by Jolm No Jme 0; !LW
whose address is dww
and to x 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 (X j, INDUSTRIAL WASTES .( ), OR
Connection will be male with fiii.]C-1=12 PUUWa joe is utona WUMfits $t&* 1.4* st Ot
ll�tb at 1!!•�t#„�
Permit to be issued to Joba A*
the holder of Drain Layer's License No. Permit will expire on - 23 0044obw 19 74.
The undersigned`Drain Layer hereby agrees to all the teams and conditions set forth on the permit and t e reverse side-
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
r
Signed r
Connection Charge Paid. 10-21-74 �,. Licensed Drain Layer
- Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig) r
FINAL 1 0/2 8 @ /eno �JS (Sig)
APPROVED 7-8 ber /974- (Date)
e�,rQ (Sig)
INSPEC R