HomeMy WebLinkAboutDrain Layers Permit 29 Brian Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _ Co. )
DRAIN LAYER'S PERMIT NO 1478
A Umu sr t�j , 19 ~7 _
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at .z a F)R l p,ry 'KDA'D on the
side, between
at premises owned by Yekt%-
whose address is Casm^4
and to Lay House Drain, Repair House Drain, _Lay Main, Other
for JZP_S\ A E.YI� l occupancy or use,
0 with )r%e— Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (�j, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with (e
Permit to be issued to G eVE11 GOfA T,
the holder of Drain Layer's License No. Per will expire on 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
34
Signed
Connection Charge Paid 233 Licensed Drain Laye
- O � �S—7 � Issued by at
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: Jrs
INITIAL (Sig)
FINAL (Sig)
APPROVED /f (Date)
INSPECTOR (Sig)
LATr=RAL
N
85
3
ul
Q
CT, 4'
2'P.V.C.
WYE R
4 5' BE N b5
g F+ From err e r o�- $oo5e 4o W I E.
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 29 8rIan Road
OWNER eAc--r- Phell s
TYPE OF WORK 400se, Onnnec. lon
DATE 8 ICI �1 PERMIT �- "1 PIPE Fl V.0
INSTALLER Co �r u c+)p O
INSPECTOR 01.T DRAWN BY C. K.