HomeMy WebLinkAboutDrain Layers Permit 58 Brian Road TOWN OF SOUTH WI N DSOR
DEPARTMENT -OF- aLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT X? 439
Oak, 3 19"
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 0 art" or on the
side, between �f It J*iGh
at premises owned by **VIM "t*
whose address is i
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
i
with M Family Units, with acres.
' tt Type of Sewage to be connected under this permit:
SANITARY SEWAGE� INDUSTRIAL WASTES, OR
Connection will be made with Six Imb Q pipe
Permit to be issued to Jobs Lyra
the holder of Drain Layer's License No"40618 Permit will expire on D"* 3 19 73 .
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 Dy"a ism to VMP bt*j M. # to*
Signed '
Connection Charge Paid $ � Licensed Drain Layer
Poe 30 Ibis (Sig) Issued by III* A„ $ fIi'wftft Jr*
Tax Collector
Permit Flee: Paid 115e`0
INSPECTION:
INITIAL/1". / ' (Sig)
FINAL lr..•j /: (Sig)
APPROVED / ; , _, (Date)
-- Sig)
INSPECTOR,-,. (
N
J
I
i
(�S
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION og
OWNER l/on'�t✓
TYPE OF WORK Ewee 7 ,e �
DATE )'0141,IvT PERMIT q PIPE L - -7�
INSTALLER [ ��rod✓
INSPECTOR i,6Zf DRAWN BY f'S'