HomeMy WebLinkAboutDrain Layers Permit 762 Clark Street TOWN OF SOUTH WI N DSOR
DEPARTMENT ON: POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N? 449
Date--1Z ' 19- ----
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 762 Clark $t* on the
t"t side, between—Damming & Smith
at premises owned by JOO"b A1ilrlin
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for zvjdCteCrlt
occupancy or use,
with Family Units, with acres.
Type of Sewa5e to be connected under this permit:
t SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with six inch(6) vx,p•
Permit to be issued to Winoidd
the holder of Drain Layer's License NY9-20" Permit will expire on_Dft* 12 1922
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 Joyor toSUO,
'DrUgh Md badi!1
fl�10/73 Signed.
Connection Charge Paid Licensed Drain Layer
Pere Es Monts
(Sig) Issued by WPh ae StAftWathor Jr*
Tax Collector
Permit Fee: Paid 0�e00
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED j / ;' (Date)
4� (Sig)
INSPECTOR
0
=2-
S�
N0� SOUTH WINDSOR POLLUTION CONTROL
LOCATION G Z
C� OWNER
TYPE OF WORK -Ji'��n E V) /-I L.
_ DATE t, PERMIT PIPE l�ic
y INSTALtER hit
INSPECTOR J' DRAWN BY .!a