HomeMy WebLinkAboutDrain Layers Permit 142 Benedict Drive TOWN OF -SOUTH WI N DSOR`
---R -- DEPARTMENT -4F•-POLLUTION CONTROL
V South Windsor, Connecticut.._
s DRAIN LAYER'S PERMIT ND 399
I Sapt_ 4 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 142 Unediet Dr, L,r 5} on the
east side, between_ ftghVift & Diva* Dro
at premises owned by ' �'
whose address is am*
and to X Lay House Drain, Repair House Drain, Lay Main, Other
,
for resid4ati. 1
occupancy of use,
with 0 Family Units, with acres.
Type of Sewage to be connected under this permit:
(ANITARY SEWAGE INDUSTRIAL WASTES, OR
Connection will be made with GiX JIA4h 66) P.14UP 0 pipe
Permit to be issued to JE"bn As Lmwn
the holder of Drain Layer's License No. wq-2oW8 Permit will expire on Novo 4 1973
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 Drian lay*r to lit *rash and b"kfill mptic tank
Signed
Connection Charge Paid $ f 31/733 Licensed Drain Layer
P*r. 3C. Nwit Rapt A. 8t�we�.thsr Jr*
Tax Collector (Sig) Issued by
Permit Fee: Paid $ 1%00
INSPECTION: 8h
■u�r iru ri..rwr
INITIAL 0042, (Sig)
FINAL4 of (Sig)
APPROVED (Date)
D 9 7 (Sig)
INSPECTOR
,P
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION /
OWNER
TYPE OF -WORK
fI DATE -:( -
PERMIT ,,, PIPE
/6", INSTALLER /j,
INSPECTOR DRAWN BY Ziill