HomeMy WebLinkAboutDrain Layers Permit 64 Brian Road (2) r
TOWN OF SOUTH WI N DSOR
DEPARTMENT Or`PLLUTFON CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 438
Oet. 2 , 19-73 _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 64 Bviia V'r on the
side, between-11414XV1 Q 00k Zt•
at premises owned by— JbAM
whose address is SIM
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for "I"MM occupancy or use,
with Ono (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAG), INDUSTRIAL WASTES, OR
Connection will be made with (6) P"OU10 Pipe
Permit to be issued to 1
the holder of Drain Layer's License No. 188 Permit will expire on D"• $ 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 D19lt 1*74V t9 PMP** and %RokftYZ NOPU*
Signed r. ,
Connection Charge Paid '" Licensed Drain Layer
Fire Be man" (Sig) Issued by Wph As Otmatrothar Jr.
Tax Collector
Permit Fee: Paid $ 1%00
.INSPECTION: Chock 1
INITIAL —f '�,r' 1. r (Sig)
FINAL o(& 14 f ' fr ,f � -2 e (Sig)
APPROVED— f J � �_�f z (Date)
�-6. s s T
INS OR' (Sig)
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