HomeMy WebLinkAboutDrain Layers Permit 10 Beelzebub Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
• B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER',S PERMIT N? 1525
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between
at premises owned by /Ay 2,6`77 MTWT-daeCcl_z
whose address is
and to , Lay House Drain, Repair House Drain, Lay-Main, Other
for l occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGEX, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to 461±�i''42
the holder of Drain Layer's License No. Permit will expire on 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-_ w a+e-Y' -res+e
Signe � � -0/Il2
Connection Charge Paid n La er
- I Issued by
Tax Collector
L�
Permit Fee:. Paid $ _ J
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED // >3-7 g (Date)
Al
PECTOR (Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION /D `�. �U R.P.
GiJ�" - / - c OWNER IWI V l GU Cc l
TYPE OF WORK llnisc COaAvE-CT/D/U
DATE / -3-7 PERMIT /S 2,5 PIPE 6 '1 ,Pl1
INSTALLER 1-*N1cyccl
INSPECTOR DRAWN BY