HomeMy WebLinkAboutDrain Layers Permit 79 Benedict Drive TOWN OF SOU WI N DSOR
DEPARTMENT QP FOL't.UTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N? 395
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 79 13*nerli ct Dr- L t g) on the
_- aan _ side, between Avery Sz pinetree
at premises owned
whose address is a=,&
and to xLay House Drain, Repair House Drain, Lay Main, Other
for residenti&I occupancy or use,
with one 00 Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with six inch W, Traiantj 3
pe
Permit to be issued to John TaMgo
the holder of Drain Layer's License NcW$62Q6 B3 . Permit will expire onet. ti 1
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse si e
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Drian_ Mayor to =V. crush nnd lax k ill affut.ic tank
Signed
Connection Charge Paid -28-73 Licensed Drain Layer
Per. Z. Moniz (Sig) Issued byR tph . �:ta t�st�Z�r 3r.
Tax Collector
Permit Fee: Paid $ �
�r
INSPECTION: Chock :r am
INITIAL ��-- (Sig)
FINAL � (Sig)
APPROVED CJ .S'% — 7.7 (Date)
-� (Sig)
INSPECTOR ��
N
7
i
i
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION (1 -1 -
OWNER <
TYPE OF WORK
DATE Y _c> -, PERMIT- PIPE
INSTALLER
INSPECTOR DRAWN BY