HomeMy WebLinkAboutDrain Layers Permit 34 Benedict Drive TOWN OF -' SOU-1-14 WI N DSOR
DEPARTMENT OF POIJUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMITV: 248
19
Pursuantato written application, 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
whose address}is =< -
and to -r�Lay House Drain, Repair House Drain, Lay Main, Other ,
for t .- = st occupancy or use,
with :; W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 4'— 19� .
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the pern t and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS '-frJK
s _
Signed 4,
Connection Charge Paidof Licensed Drain Layer
I (Sig) issued by
Tax Collector
Permit Fee: Paid $ _ *„1
INSPECTION: ` ""
INITIAL (Sig)
FINAL —_� (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
N
N
�G
Leg �
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION J q
OWNER '
TYPE OF WORK Go,✓+�1c.` '
DATE t c PERMIT PIPE f OG-
INSTALLER +, s ,+/
INSPECTOR DRAWN
{
k /
r
A fl 4 42
� i4 9S
� 1 i
Fouadation located as
sholft-
Ap4X-lip IM
Tro da1��,,aa takes t ma s
+fi !p its �s6�.as*ring Plan
At �a■i
, ;,$*iglus s# South Windsor,
tits I tad 111, Boale
:q4 1956. Certified
13* Correats Hayden L.
art
FT U T AV
Om
} c' ,��afr
I b* by ca jfp that tble �',r"�
,.o j IIr7 ram.
so subetwtiall cot- r� �,,Zl3t �: ,.
�ti, �T� , ;Ny.. cR , �iNCTIC?lT
3 e td ao ain 6a • �F�S s�sT a N� $CALF .1 t Os D"r
Y ove b " vOtod".
HORTON S. FI11E, kc, i L.S.
- 54
or
4