HomeMy WebLinkAboutDrain Layers Permit 0369 Avery Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:.
South Windsor, Connecticut
List.No.: -S4672,
DRAIN LAYER'S PERM IT 95i
07 October 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to pform:
the work indicated below at 30 064 Str"t An the
aaalt side,- (!>tit) a!!rt ti4X'J'lfip' $ AYlftk'► BtXti9N: au�d'�1A# [ Y11.
at premises owned by $wtr3oia $.
whose address is a=0
and to —Lay House Drain, Repair House Drain, Lay.-Main Other
for r04"Sntial occupancy pX use,
with on* 0) Family Units,.with acres
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ), INDUSTRIAL WASTES OR
Connection willbe��made with' d':adX•1 Ch (6") Plsa'tle pigo to m Jatera k�aovrp a6 Cal to the
Eta, !�' 3Me aY♦ s 41pth of
Permit to be issued.to *Vard Os Slater
the,holder of Drain Layer's License No. Permit will expire on 0? Amemb±IFx' 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
Sign Zi
Connection Charge Paid 104E 75 Licensed Drain Layer
—. 1e0eiPt Not 866 Issued by K91VJA Z_ WSWd4 Jr#
Tax Collector
Permit Fee:. Paid $ 15.
INSPECTION: Check Number: 4Ss6
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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