HomeMy WebLinkAboutDrain Layers Permit 105 Beelzebub Road TOWN OF SO TH WIRDSOR f_y
DEPARTMENT tiP6LLIUTIOWCONTROL BAP No
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT ND $97
7/18/75 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 103 zebtb R on the
side, between
at premises owned by h* dW147 ftviA
whose address is
and to X Lay House Drain, Repair House Drain, Lay-Main, Other
for R0Sj4A ►t:*j- occupancy or use,
with 0" Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ()(), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with Aft lach PlaAfte PLPO
Permit to be issued to J*ba A* TAWWX
the holder of Drain Layer's License No. W"9 f" 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
Signed t
Connection Charge Paid Licensed Drain L yer
7/8/7.5 Issued by I*Uk %Tr Saith
Tax Collector
13000
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL = i (Sig)
FINAL (Sig)
7.
APPROVED X _ (Date)
f' (Sig)
'��INSPECTOR T g