HomeMy WebLinkAboutDrain Layers Permit 51 Davewell Road Y
TOWN OF SOUTH . WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT Na 772
I/?I Z25 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below atr T)Aye fll Road (LOT -L-7 on the
side, between
at premises owned by r /
whose address is Game
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for Re zideA- occupancy or use,
with Oxe Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES OR ( )
Connection will be made with Six inch P"astic 11i j2r=
Permit to be issued to Jahn A. LAmson
the holder of Drain Layer's License No. Fd-9 ? /3 ? Permit will expire on 19
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
Signed
Connection Charge Paid 1/20/75 Licensed Drain Layer
Y
=s Issued by FroAk J. `wraith
Tax Collector
Permit Fee: Paid $ :L5--00__._
INSPECTION: Check Number:
INITIAL f S (Sig)
FINAL f,d (Sig)
APPROVED fJis (Date)
(Sig)
INSPECTOR
r..
N
�Q•g �
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE PERMIT PIPE
INSTALLE g4dalwO
INSPECTOR rV DRAWN BY