HomeMy WebLinkAboutDrain Layers Permit 0741 Avery Street TOWN OF SOUTH WINDSOR
l DEPARTMENT OF POLLUTION CONTROL B/P No.: 4y-F
South Windsor, Connecticut � y�
List No.: _
DRAIN LAYER'S PERMIT N? 517
Doe, 11 , 19 73
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at W AVerY St, on the
Ust side, between Pam* Mob Dr $r Woodlaad $to
at premises owned -rq
whose address is some
and to X Lay House Drain, Repair House Drain, Lay-Main, Other
for x' aideatial. occupancy or use,
with 0" Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with six inch(6) Cast i.rom
Permit to be issued to Richard Pi.ppom
the holder of Drain Layer's License No. W9-206363 Permit will expire on robe 11 1973_
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 Uraixt layor to Pump+ crush axd backfill &optic task,
Omer is advised to hook Uto city water if and when avilablo
Maxim= diataacd from won ahal2 be maixt*U*d if aomoible
Signed
Connection Charge Paid 11/1/73 i` nin Layer
Per. E. Moui. Issued by Ralph A, Staxktoathor Jr,
Tax Collector
Permit Fee: Paid $ 1-:9q__
INSPECTION: Check Number: 5271
INITIAL f= / '/ f: t. (S
ig)
= FINAL r._. ; `' (Sig)
APPROVED / (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
v✓F ����; ;�;� LOCATION - G
OWNER
TYPE OF WORK
DATE Of, ,�,,PERMIT z-'1 _ PIPE c,
INSTALLER
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INSPECTOR DRAWN BY