HomeMy WebLinkAboutDrain Layers Permit 0266 Avery Street TOWN OF SOUTH WINDSOR
DEPARTMENT OFF P®LUTION CONTROL
South Windsor, Connecticut S-G �
DRAIN LAYER'S PERMIT
Pursuant to written application, permission is hereby granted to the icensed Drain Layer named herein to perform
the work indicated below at -1&� �l )CO ' El re e on the
seat side, between 2040dUt li •
atpremises owned by Re W 3"14 4W
#,
whose address is " +M the LG,AS �Lr;-�✓z� fi: i .�W L
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for ���
occupancy or use,
with t�) Family Units, with acres.
Type of Sewage to be connected under this permit:
t SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with Oft P2 A' lZ JAPO
Permit to be issued to j+X+ C `
the holder of Drain Layer's License No. Permit will expire on *18 19'D
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". "V097 and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS AU l`fi =at be laid at 20 pifth Xftftm
Signed
Connection Charge Paid Licensed Drain Layer'Por {
e SJONIS (Sig) Issued by wr 91ta!# tlZu1► Jam.
Tax Collector
Permit Fee: Paid $ 1 00
INSPECTION: *"
INITIAL •d V oc f cl'72 (Sig)
FINAL 0 /� /i � le (Sig)
APPROVED QCT �2 --4 / (Date)
(Sig)
INSPECTOR
A. if
a