HomeMy WebLinkAboutDrain Layers Permit 760 Clark Street b;
TOWN OF SQ!LlIJ WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut �
J Cr
. DRAIN LAYER'S PERMIT 448
' Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 76 Clurk St. on the
qr sstst side, between I inn, & Smith
` _at premises owned bye+ rt Ontsdrirh
whose address is_ "ne
and to X _Lay House Drain, Repair House Drain, _hay Main, Other ,
for r�siu ltial _ occupancy or use,
with ngP Family Units, with ��__� acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE} INDUSTRIAL WASTES, OR
Connection will be made with x h (6) y.C.P.
T.
T
Permit to be issued to �t���snP,�,xxlfy ,ra10 f
the holder of Drain Layer's License No. 4iq Permit will expire on Dec. 12 _ 1923
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 `
bmckf'i.11 septic tang
SPECIAL CONDITIONS Dm� '��' '� ��- CTllsh an'�
Signed t
Connection Charge Paid S 10/10//73 Licensed Drain Layer
)der. E. Moniz (Sig) Issued by Ral$h A. 8tax'kwe tthttr Jr*
Tax Collector
Permit Fee: Paid
INSPECTION: Check
4 INITIAL //-7J/S ? (Sig)
FINAL r !' (Sig)
APPROVED -- .� (Date)
71 7- 4�/ (Sig)
INSPECTOR
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115
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER -f ei,1Co c z)o�PIeH
TYPE OF WORK fE`„F 7
/d DATE/d Ja172 PERMIT �-/ PIPE r /G
2 INSTAL r41
INSPECTOR DRAWN BY f