HomeMy WebLinkAboutDrain Layers Permit 0480 Avery Street (2) A TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N? 655
Y8 gt_ 2001VA 119
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at /1: # _A a=- t on the
side, between
at premises owned by iJP'f iel Ln-Pewta
whose address is Same
and to }► Lay House Drain, Repair House Drain, Lay-Main, Other ,
for 7 ]adid tft occupancy or use,
with- = Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES ( ), OR
Connection will be made with 113-autia pi
.44
Permit to be issued to Rob*rt L.
the holder of Drain Layer's License No. W`•9?0 35 Permit will expire on 10/20/74 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 Licensed Drain Layer
W I V74 Issued by
Tax Collector
r
Permit Fee: Paid $
INSPECTION: Check Number: i46hr
t
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR