HomeMy WebLinkAboutDrain Layers Permit 47 Benedict Drive ' TOWN OF SOUTH WINDSOR M
�` DEPARTMENT OF POLLUTION
� N CONTROL
6"`t`
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N? 306
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Aim -r "j; .G: P L Ire
on the
side, between
at premises owned by
whose address is
and to yl{ Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with ;, .. 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 tK' d d t- s ,.
the holder of Drain Layer's License No. Permit will expire on j, t 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_ :. ..
r z
J
Signed . ✓ ti" `` °'
Connection Charge Paid $ Licensed Drain Layer f
(Sig) issued b e:T, A
Tax Collector# y
Permit Fee: Paid •� '='"`
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED 90 4164/6+ri_. 091 I (Date)
s. e INSPECTO - "' (Sig)
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
ScaLc 46' Appa,,x. LOCATION agmc a, 1bal.,lr
AT ec,ya�c�riorl crm �A,-Eat: ua, 3-vr OWNER A-r-ru-ig
TYPE OF WORK w C nlE i ow4
LErJ�Y1#�TNL!N 3,Z°1t5 PI'Ve M,
DATE _mac,_ PERMIT 304, PIPEG" CP
INSTALLER ml !L ,4,y,-
INSPECTOR DRAWN BY