HomeMy WebLinkAboutDrain Layers Permit 73 Autumn Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut ('
List.No.: .�
DRAIN LAYER"S PERMIT NO 1495
ILA T S , 19 _
Pursuant to written applicaattioor, permission is ereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ` J ®"T on the
side, between,
at premises owned by
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 ( )
Connection will be made with
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
Connection Charge Paid 2?i ease rain ayer
Issued by
Tax Collector
Permit Fee:. Paid $ _
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED p_ 7 —ZZ- 7f (Date)
k2n,%- 00t,"J.'h E (Sig)
CTO
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NOTES SOUTH WINDSOR POLLUTION- CONTROL-
LOCATION �lu�"Gn11d
OWNER IA
TYPE OF WORK House CON4l5c-n0N
DATE 9-12-77 PERMIT )4'9 PIPE n 9l/G
INSTALLER QED
INSPECTOR DRAWN BY