HomeMy WebLinkAboutDrain Layers Permit 0749 Avery Street 4-Fl
TOWN OF SOUTH WI N DSOR
boor# DEPARTMENT OF POLLUTION CONTROL
/400 4407 South Windsor, Connecticut
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DRAIN LAYER' S PERMIT NO 185
03NAY , 19- 73_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named.herein to perform
the work indicated below at 7 At= Stratt on the
ugat side, between llealmmsbtt %ad Dart Hill ad
at premises owned bye g81haw t
whose address ism"x
and to ,_Lay House Drain, Repair House Drain, Lay Main, Other ,
for raddisen #& occupancy or use,
with az* {'#} Family Units, with acres.
Type of Sewage to be connected uner this permit:
l; SANITARY SEWAGE INDUSTRIAL WASTES, OR
Connection will be made with7 #t��� l.�sere► .icy #
Permit to be issued to '1md r• Puanit
the holder of Drain Layer's License No. W94OW2 Permit will expire on 0- J
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_ 1 -ff- =,,
Connection Charge Paid X 0 $- j License a n ayer
' M )Wait (Sig) issued by Nolvis Wwards, Jr.
Tax Collector
Permit Fee: Paid $.1-5*0 3
0ok thabors
INSPECTION:
INITIAL '�", ` (Sig)
FINAL (Sig)
APPROVED 05 KV# 1973 (Date)
(Sig)
CTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drxwixg xot to scale. LOCATION 749 Avg S re4e
OWNER C ' rles F. Shaw
TYPE OF WORK Sewer Coxxectiox
DATE 0 -0 -73 PERMIT 185 PIPE6" P.V.C.
INSTALLER Phalix W9-20 912
INSPECTOR ME DRAWN BY ME
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