HomeMy WebLinkAboutDrain Layers Permit 500 Clark Street (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut S—
DRAIN LAYER'S PERMIT X? 469
Oct* 16 , 197"
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 5W Clark SSt• on the
east side, between Doming & Smith
at premises owned by Donald Hood
whose address is eame
and to XX Lay House Drain, Repair House Drain, Lay Main, Other ,
for—residential
occupancy or use,
with one L Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE,) INDUSTRIAL WASTES, OR
Connection will be made with six inch (6) cast iron Pipe
Permit to be issued to Adorn Wesnieski
the holder of Drain Layer's License No. '99--2065,59 Permit will expire on Dec. 16 19 7
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 Drain layer to =- p, and crush selitic tan'
Signed
Connection Charge Paid $ 10/17l7-� Licensed Drain Layer
Per. %. Honiz (Sig) Issued by Rat.-h A. Starrwen-ther Jr.
Tax Collector
Permit Fee: Paid $
INSPECTION:
`. INITIAL (Sig)
FINAL J (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
' V
)ZO
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION CG K S i
OWNER 061-L41- o
TYPE OF WORK `�✓� 2 L - F���G
DATE a-7- 77PERMIT l q PIPE G L,
INSTALLERh
INSPECTOR '" DRAWN BY �''