HomeMy WebLinkAboutDrain Layers Permit 64 Brian Road TOWN OF SOUTH WI N DSOR
DEPARTMENT *'0F7PdL-UTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N? 438
Opt , 1923
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ 64 Brian `Dr. LoT 3 t] on the
North side, between L*Urel 61 C&l. St,
at premises owned by Bdward 5A.Yer,
whose address is ORM0
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for rosideatl&l occupancy or use,
with one (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
C SANITARY SEWAGE} INDUSTRIAL WASTES, OR
Connection will be made with isix inch (6) blaistic pipe
Permit to be issued to John Lm?son
the holder of Drain Layer's License No.W c I Permit will expire on Dec* 2 1973
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 D in layer to p p r r' sh d back f ll septic tank
Signed
Connection Charge Paid $09-220=-13 Licensed Drain Layer
T. 77. 112i (Sig) Issued by Rallph .4. 2tarkureather Jr.
Tax Collector
Permit Fee: Paid $ 95'00
INSPECTION: t heck ;Jr'
INITIAL (Sig)
s
FINAL �� ��7j—f' /Ca��` 7 s� (Sig)
APPROVED c/_ ;7 ? (Date)
(Sig)
INSPE TOR
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N
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION &'-'/ r. _'
OWNER
TYPE OF WORK _
DATE i<^ PERMIT :1 PIPE %
INSTALLER
INSPECTOR DRAWN BY