HomeMy WebLinkAboutDrain Layers Permit 330 Benedict Drive y. TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL. gip No.:
South Windsor, Connecticut (/33
List.No.: _
DRAIN LAYER'S PERMIT No 1393
M q y .S' , 19 ;1,6
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 3.3 O on the
w�ST side, between
at premises owned by L EO C NA R i z /O IV45
whose address is Sa1W1 QS a.}�0 V Lo
and to Lay House Drain, Repair House Drain, Lay Main, Other
for - ESI�GNT occupancy or use,
with C dN n Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (>e,, INDUSTRIAL WASTES OR ( )
Connection will be made with C. V u C
Permit to be issued to__ VITD COVE1464q - COVEN CbNSTRLAcr %o 4
the holder of Drain Layer's License No. ,. Permit will expire on 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 HD Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid /� '�,3 Licensed Drain Lay
- / ` 78 Issued by
Tax Collector
Ao
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
.Y
N
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U
T Q
s Cj
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NOTES CLCANOVT \s A?f'VeX SOUTH WINDSOR POLLUTION CONTROL
-7'y" 7Da? '�(ojv) F,�. LOCATION 3,10 "B1;-: NEWAcT \v c
OWNER LE0 CNaR �IOtyE
TYPE OF WORK oUSE CotNeG,T%vt-A
DATE 5 G-'18 PERMIT 1'691 PIPE
INSTALLER GovtN coNs-r�vc-C�oa
INSPECTOR DRAWN BY