HomeMy WebLinkAboutDrain Layers Permit 29 Clinton Drive (2) TOWN OF SOUTH WINDSOR
DEPARTMENT OF"POLOUTION CONTROL
South Windsor, Connecticut a�--
'DRAIN LAYER' S PERMIT NO 494
Nov- 7 i g 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 29 Cl ixi r- tier 4) on the
1202'th side, between West Of AVAUT St
at premises owned by �aAa Cnl nw
whose address is
and to $ Lay House Drain, Repair House Drain, Lay Main, Other
for residential
occupancy or use,
with die 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with ! C inch (6 Y.C.P.
Permit to be issued to Adam Wagmieaici
the holder of Drain Layer's License No.W9- 59 Permit will expire on jag. 1
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 lover to UMP/ crUeh and backfill septic tank
Signed
Connection Charge Paid $ R1 f f2,0473 Licensed Drain Layer
Per. F,. 14 nis (Sig) Issued by Ret1ph A. Sta kwutthor Jr.
Tax Collector
Permit Fee: Paid $ 15*00
INSPECTION: Check �
INITIAL ` (Sig)
FINAL (Sig)
APPROVED ` `r j (Date)
(Sig)
INSPECTOR
o S°
A
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 12 G i i NMAI Ok
OWNER 71'?A-pVe&r
TYPE OF WORK -r�Nag ,i�..
DATE o - YERMIT PIPE 71-1-2
INSTALLER m-m
INSPECTOR de S DRAWN BY „C