HomeMy WebLinkAboutDrain Layers Permit 186 Beelzebub Road TOWN OF SOUTH WINDSOR
DEPARTMENT OP F`ioILUTION CONTROL
South Windsor, Connecticut ^ p 2'�
DRAIN LAYER'S PERMIT N? 420
.. _._. Sgt. 18 , 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 186 Beezelbub Rd. L b on the
wrth side etween_AV*XZ & Foster
at premises owned by Claude Ta ligr
whose address is 4=0
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for Residential occupancy or use,
with *US (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGF), INDUSTRIAL WASTES, OR
Connection will be made with GiX iUCh (6) plastic eve
Permit to be issued to Claude Lallier
the holder of Drain Layer's License No. Permit will expire on_ Noyes 18, 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 lfm*awner to ?tun-oscm& and baiCktiljMtic tauk
Signed
Connection Charge Paid $ 353 Kwoovatr
Ptr. F. Non£ (Sig) Issued by Ralph Ai Ztarkweatthor Jr.
Tax Collector
Permit Fee: Paid $ 1.5.00
INSPECTION: Check 9
INITIAL ? (Sig)
FINAL (Sig)
�. /i .�'✓' 7 (Sig)
APPROVED (� � ) _ /�' 7, ? (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER c tAO/F Z A2,4
TYPE OF WORK -? a- -x, ,�-
DATE, PERMIT Z/-<) PIPE elLxvF;�
INSTA r;
INSPECTOR DRAWN BY