HomeMy WebLinkAboutDrain Layers Permit 500 Clark Street i
j TOWN OF SQQTV WI N DSOR
j DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut --
1
DRAIN LAYER'S PERMIT NO 469
i
i
Oct* 16 , 1973
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
it the work indicated below at goo at.
on the
t side, between DaMi" & with
at premises owned by DO" d NOW
i
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
I fort
occupancy Ouse,
with �� Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with ou lawa ONA irm pipe
Permit to be issued to Adze o
the holder of Drain Layer's License No. "-"6" . Permit will expire on DW. 16 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 Dr&U Uwor to rms md erAsh septic twk
Signed
Connection Charge Paid $ 10117,,7r3 Licensed Drain Layer
Per* to Hosix (Sig) Issued by P411* A+ Storkw4lf1*P Jr*
Tax Collector
Permit Fee: Paid $ 15000
INSPECTION: Cho& #+
INITIAL (Sig)
FINAL r (Sig)
APPROVED (Date)
(Sig)
INSPECTOR "