HomeMy WebLinkAboutDrain Layers Permit 0670 Avery Street (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut f ,
DRAIN LAYER'S PERMIT N? 443
Oat, 5 , 19 73
_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 670 Avg= at on the
-_ gnat side, between 1413Y IL Vftd2-
at premises owned
whose address is 9008
and to XLay House Drain, Repair House Drain, Lay Main, Other
for—-
occupancy or use,
with '} Family Units, with acres.
Type of Sewage to be connected under this permit:
(,SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with six Ine-h A-10
z
Permit to be issued to Valtop lemon
the holder of Drain Layer's License Nod Permit will expire on J)ga 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 DMIA r to AM. 8o1 and hagk= sWic
Signed j
Connection Charge Paid $10-3 73 License Drain Layer, f'
I?or*
Tax Collector (Sig) Issued by A. S �t�" Jr*
Permit Fee: Paid $ 15-00
INSPECTION: Cheer ---=
t. tom. r� 1tI<«CQi
INITIAL 1�. '`J (Sig)
FINAL ' (Sig)
APPROVED /_.. s (Date)
(Sig)
INSPECTOR