HomeMy WebLinkAboutDrain Layers Permit 9 Brewster Road 4
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DEPAR'�MENT OF POLLUTION CONTROL
South Windsor, Connecticut
CIA•I 4.6"M
b'RAIN LAYER'S PERMIT O 196
3°� cd 4q ter► , 19_.
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named'hetein to-,perform
the work indicated below at ►M&A #t' �' on the
side, between ► Aw jad A IMAM_
at premises owned by ID %* F No
whose address is
and to _.LLay House Drain, Repair House Drain,, Lay Main, Other ,
for occupancy or use,
with ri Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE INDUSTRIAL-MASTES, OR
Connection will be made with
Permit to be issued to_
stnows
the holder of Drain Layer's License No: '* Permit,will expire on 1I4 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 WNW" AWW IN* 19ftj SO%& Id bedtft . *'
Signed
Connecti6kCharge Paid'` icensed,'r in aver
�s . u. (Sig) Issued by owww Wo
Tax Collectoi,
Permit Fee: Paid $ '
INSPECTION. Now
INITIAL (Sig)
FINAL (Sig)
APPROVED ""` * (Date)
I1VSF (Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale: 1" = 40, LOCATION 9 Brewster Road (Lot 44)
OWNER Nuxcio Gaetaxo
A 29 35 TYPE OF WORK
B 17 -- DATE 0 -1 - PERMIT 196 PIPE6t1 J.M.
C -- 27 INSTALLER Simmons (W -20 0 4
INSPECTOR HWL DRAWN BY ME