HomeMy WebLinkAboutDrain Layers Permit 185 Brook Street TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER"S PERMIT N? 1184
24 January , 19 77
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform.
the work indicated below at 185 Brook Street on the
South side, between
at premises owned by Stephen Smith
whose address is Same
and to LD Lay House Drain, Repair House Drain, Lay Main, Other
for Residential occupancy or use,
with One Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES OR ( )
Connection will be made with X Six inch nl_a_sti n pi pA
Permit to be issued to Vito Coyenskv
the holder of Drain Layer's License No. Permit will expire on_p4 March 1977
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
Signed
Connection Charge Paid Licensed Drain Layer
1o4A Issued by M. Timothy Friend
Tax Collector
Permit Fee: Paid $ _ 21�9.00
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR