HomeMy WebLinkAboutDrain Layers Permit 33 Deming Street TOWN OF SOUtH WI N DSOR
1� b ..f.
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut /
J
DRAIN LAYER'S PERMIT 430
Ar
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 33 Not" at
on the
0"0 side, between And No
at premises owned by �1o►blr�t !'t
whose address is 4NM
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for MaddfttW '
0 0) occupancy or use,
with Family Units, with
,'acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGA INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued to F*Nak KMm
the holder of Drain Layer's License N 34 Permit will expire on@" I 1
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse !de
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid -21-73 Licensed Drain Layer
(Sig) Issued by ft1J* A* SUAv"AW a3►0
Tax Collector
Permit Fee: Paid
jq
INSPECTION: ` `
INITIAL - (Sig)
FINAL (Sig)
APPROVED 0`+ ` .� 7.j'
(Date)
(Sig)
INSPECTOR `'
N
0
G
i
i
i
i
1
NOTES
SOUTH WINDSOR POLLUTION CONTROL
j r> l LOCATION Ery�il�c-
fr
OWNER
TYPE OF WORK
DATE PERMIT c r,' PIPE
INSTALLER
INSPECTOR ,4
DRAWN BY