HomeMy WebLinkAboutDrain Layers Permit 56 Birch Road TOWN OF ...SQ1- H WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut —
_ VVV 0J —
DRAIN LAYER'S PERMIT NO 401
Sent- 4 ' 19-�a--
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 56 Birah at. on the
210rth side, between Br'iaR & dla�d
at premises owned by Pates. Wahrm �.'•� !r<: L,
whose address is r"a
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for rosidea.tial
occupancy or use,
with 021a (1 Family Units, with acres.
Type of Sewage to be connected under this permit:
E SANITARY SEWAG), INDUSTRIAL WASTES, OR
Connection will be made with''SiX i.Rsh (6) plastic t*it*
Permit to be issued to ftbart Davin
the holder of Drain Layer's License No W9" 935 . Permit will expire on Nov, !} 1923`
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 .in layor to pump *rU*h and backPin X*Ptie tank
p
Signed '
Connection Charge Paid 0/05/73 Licensed D ain Layer
Par. E. Mosis Ral A. Rta*woather Jr
Tax Collector (Sig) Issued by
Permit Fee: Paid $ rtrt
INSPECTION: Cheek
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
N
Lg
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER 7:;�G I✓�/./.' _ ,.
TYPE OF WORK Ef✓,rti !,��:fJ��v
DATE G //)PERMIT 7i'<� � PIPE
INSTALLER
INSPECTOR DRAWN BY ,���