HomeMy WebLinkAboutDrain Layers Permit 0472 Avery Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL ,gip No.:
South Windsor, Connecticut ,
List.No.: '5-(p97_
DRAIN LAYER'S PERMIT 1049
29 Mgarch 192
,619 .
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at 4+?2 Avea _3frEpf%t L&!r-39� on the
wskFt side, between_ Ravmand RnAd rind Ben cii et Dri v
at premises owned by t)T?4nNT�t ,Tar•iPa R fL xlnanno D _
whose address is :r. M
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for resicleritial occupancy or use,
with ona (1)' Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X); INDUSTRIAL WASTES OR
Connection will be made with^i x-i neh (h") Z21 mot-r ris a' to a--l-AtersT known aq Sty_
Permit to:be issued to Wesl.e•u T. Hills
the holder of Drain Layer'sj-•,i,cense No. 49_20704 5 I Permit will expire on ?_ _.hir e' 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 p;;�15-'76 Licensed Drain Layer
Issued by�lelvi:i 1:ciwar is. Jr.
Tax Collector
Permit Fee:. Paid $ __1
INSPECTION: Check Number: 3
INITIAL (Sig)
FINAL . 03�30 0, tSd7 h_ (Sig)
APPROVED 3o1MA-fd-Y i9-76 (Date)
(Sig)
SPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 472 Avery Street
OWNER DUMOND, James R. Joanne D.
TYPE OF WORK House Connection
DATE o. a® PERMIT PIPE " 5,
INSTALLER WILLSIW9-2,2704-61
INSPECTOR DRAWN BY