HomeMy WebLinkAboutDrain Layers Permit 136 Beelzebub Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor,-Connecticut
" List.No.: �_�-•'�� i �-
DRAIN LAYER'S PERMIT Na 759
, 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1-76 Bet,1zebub Road- Z on the
side, between
at premises owned by Viarinn Sit anger
whose address is aan,a
and to XLay House Drain, Repair House Drain, Lay Main, Other ,
for 1�nr3i:iv-ntin1
occupancy or use,
with 0n0-, Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (y, ), INDUSTRIAL WASTES .( ), OR
Connection will be made wiE$ '�
Permit to be issued to John Limberge.r
the holder of Drain Layer's License No. w.q-2r)6 P' 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
Connection Charge Paid 686
Licensed Drain Layer
�
1?/9 7lr
Issued by ;'rink J. `hith
}
Tax Collector
Permit Fee: Paid $ _15!0
INSPECTION: Check Number:
INITIAL f Js (Sig)
FINAL f j r, (Sig)
APPROVED fjs P , / i'l f 4- (Date)
f,I s (Sig)
INSPECTOR
N � �►
Y
1
f
1 � 1
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NOTES 1�'`'�'" � ��2u( .w"'�."
"`� SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK 4.
DATE PERMIT PIPE
INSTALLER
INSPECTOR DRAWN BY