HomeMy WebLinkAboutDrain Layers Permit 92 Brian Road (2) !g~�, TOWN 0F Sa�UTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut` ,
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DRAIN LAYER'S PERMITO 202
III , 19
Pursuant t.o written application, permission is hereby granted to the Licensed Drain Layer.named herein to perform
the work indicated below at 11i awd (116t on the
Kara side . -Sm gij 6f_ i r�fim "i
at premises owned by ]!'!tnsu h4 'n�ur`
whose address is �r
and to _Lay House Drain, Repair House Drain,, Lay Main,.;'--. Other
for r9dtt3� occupancy or use,
with fig# ("�} Family Units, with acres.
Type of Sewage to be connected under this permit: -
SANITARY SEWAGE) INDUSTRIAL WASTES-;OR
Connection will be made with �1xA10k (60): 1
Permit to be issued-to Ufa 1'-. OnfamakV
the holder of Drain Layer's,License No. Permit wilVexpire on 417 It31+�P 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 Divin Wor to • � R #Ii baAkfill. Motto ii
Signed
Connection Charge PaidXK 0,Vpwj6w 3 Licensed Drain L er
(Sig) issued by rally" lkwardst ati.
Tax Collector
Permit Fee: Paid $ 1.5E0
Mock Ninbsrs ,td-2.IM3-
INSPECTION:
INITIAL OS / 42 (Sig)
FINAL C>'.5 1 4 (Sig)
APPROVED 17 KaY• 1973 (Date)
(Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 92 Brian Road (Lot 4)
Cleaxout is located elevex (11) feet OWNER Alton W. Foss
straigkt out from west aide of base- TYPE OF WORK Sewer Connection
mext window, approximately one 0) DATE -05-17-73 PERMIT 202 PIPE6" P.V.C.
foot deep. INSTALLER Vito (W9-2059243
INSPECTOR ME DRAWN BY AIE