HomeMy WebLinkAboutDrain Layers Permit 43 Deming Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT NO 1433
J/I 1_�/ , 19 _
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1��) on the
side, between
at premises owned by J_JANEi 0�
whose address is
and to _ Lay House Drain-, Repair House Drain, Lay-Main, Other
for I�E S/�E/1�Z-ar �/g/� '
occupancy or use,
with 0A/115 Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE OO, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with /—I,' Pyc
NAP—
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned'Drain Layer hereby agrees to all the terms and conditions sec 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 Licensed Drain Layer
Tax Collector 7-7-,0 Issued by
- 4`"`—i'•��
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSP CTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION DLJ- I rJC S Try E_ i
OWNER i,IC)N e-L.
TYPE OF WORK Huus
DATE / C -7 PERMIT PIPE
INSTALLER JaE,,: A. L <xr„c-,nrn
INSPECTOR G. To R- L K, DRAWN BY J•LA PPE N