HomeMy WebLinkAboutDrain Layers Permit 0780 Avery Street (2) t
w# TOWN OF SOUTI , W I N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMITp 539
NA
Audi 25
.. 19
74
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 251C A!r= sto on the
side, between At*
at premises.owned
whose address ist
and to X Lay 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 MAX IN14 aj"
a._
t Permit tSo be issurd to �
7
the holder of Drain Layer's License No. Permit will expire on f 19 74 .
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 '000
Signed _
Connection Charge Paid Licensed Drain Layer
poor's No No € Issued by< ' '' ;+ jr*
Tax Collector
Permit Fee: Paid $ 15000
__
INSPECTION: Check Number:
INITIAL (Sig)
FINAL f'. (Sig)
APPROVED-$' (Date)
-=-•ter �-"' '_-�?`. ;,,p,
(Sig)
dY II-S