HomeMy WebLinkAboutDrain Layers Permit 0788 Avery Street (2) x
A T OF . :SOUTH W!NbtOR
"DEPARTMENT OF POLLUTION CONTROL
South Windsor; Connecticut
DRAIN LAYER' S PERMIT 225
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 2M AXOM : bog (lot 0 on the
side, between Pin*
at premises owned by XdMX '
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for ;`t
occupancy or use,
with a 1) Family Units, with" acres.
Type of Sewage to be connected under this permit:
`(SANITARY SEWAGE) INDUSTRIALt WASTES, OR,
Connection will be made with samjAw, !6*9 ujA4ja jdja
4
Permit to be issued to JV•R;
the holder of Drain Layer's License No. Permit will.expire on a4 Jy 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 Uwer fo RM# m awplas tooke
Signed
Connection Charge Paid + Licensed Drain Layer
(Sig) Issued by $ WwwqavE"r
Tax Collector
Permit Fee: Paid
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED 460819 6 Jun* 1973 (Date)
(Sig)
VISIVIR co tip JI CTOR
SP A