HomeMy WebLinkAboutDrain Layers Permit 49 Birch Hill Drive (2) TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
_
South Windsor, Connecticut B/P No.:
List No.: _�� �1
DRAIN LAYER'S PERMIT NO 2080
19
Pursuant to written app/liicaation, p mission iZL"IY77-7
ed to the Licensed Drain Layer named herein to perform
the work indicated below at 7 % on the
side, between-
at premises owned by Q C
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
1
for A2 "
��occupancy or use,
with L.Z Family Units, with "77��--acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE
( ", INDUS
Connection will be made with /
Permit to be issued to
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 H D Permit No.
for street excavation.
SPECIAL CONDITIONS
�- -� � f £�' r r •il
Signed C-l11
jConnectionCCePaid �(�� l Z aj/ , Licensed Drain Layer
Issued by
o Tax Cllector
/ tZ
Permit Fee:. Paid $
INSPECTION: Check Number; --
INITIAL (Sig)
FINAL (Sig)
APPROVED �, ► ( ate)
CTOR
4-9
in �5 � sb
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 44 /
OWNER
TYPE OF WORK
DATE PERMIT PIPE v
INSTALLER
IN PEQTOR DRAWN BY