HomeMy WebLinkAboutDrain Layers Permit 36 Birch Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
_.. ...._..
i South Windsor, Connecticut
S-60284
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DRAIN LAYER'S PERMIT NO 36
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 36 ALA. r6 ri-I A4z La•p -7c on the
Aft"tjl side, between gia 1!
at premises owned by 1 +ire .
whose addressFiis AWO
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for residl ati
occupancy or use,
with*We M Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with fidY 4a" (Q jdaXt:LS
Permit to be issued to Uhw A.0 tmam.
the holder of Drain Layer's License No.NSMN6188 Permit will expire o
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on tFie p'e n it and the reverse s
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS L rer t& 4VAIM ,K" 'ale-k1d .-..�1 a tMb
Signed
Connection Charge Paid 07-23 "73 Licensed Drain Layer
(Sig) Issued by .] A. $fA r e
Tax of ector
Permit Fee: Paid f(
INSPECTION: ook 191
INITIAL � � (Sig)
FINAL �•" •
(Sig)
APPROVED 08-17-73 (Date)
Jr.
(Sig)
INSPECTOR
H
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION i° y oge
OWNER ,F
TYPE OF WORK
DATE PERMIT .3C PIPE �!�✓1�
INSTALLER L1.91nso ri
INSPECTOR „S DRAWN BY