HomeMy WebLinkAboutDrain Layers Permit 64 Davewell Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut f�
List No.: _�
DRAIN LAYER'S PERMIT NO 1221
�^ 19
Pursuant to written applicatior, permis on is hereby granted to theLicensed Drain Layer named herein to perform
the workp' dica ed low at �(/� � on the
� side, betwee F
at premises owned by-101LI 6, U -/7
whose address is
and to ,4Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE INDUS ( WASTES ( ), OR ( )
Connection will be made..w``ith � PVC
Permit to be issued to �,/f /
the holder of Drain Layer's License No.k U h Permit will expire on 19
The undersigned Drain Layer hereby agreeg to all the term& 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.
SPECIA CONDITIONS
fL
Signe
Aa-vk (AJ 'C&216994 "k
Connection Charge Paid f— � Licensed Drain Layer
ia7y0 Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
'�• (Sig)
INSPECTOR
'r
s
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NOTES SOUTH WINDSOR POLLUTION CQVTROL
LOCATION Cd
OWNER o,-
TYPE OF WO
DATE 5= - P RMIT -)3 l PIPE r
INSTALLER A .
INSPECTOR DRAWN BY e
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . �: 2/ . . . . . . . . .
The Sanitary Sewer . X. . . Septic System . . . . . . . . . .
at . V ?' - - �i ' 1 '�� Rcl
or lot #. . . . . . . . . . . . . . .. has been installed and completed
in accordance with the. Town of South Windsor ordinances
and regulations.
Accepted Approved
By
Date