HomeMy WebLinkAboutDrain Layers Permit 67 Deming Street TOWN OF SOUTH WI N DSOR
Q 1. Bess DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
41 st i �"� � A►
.DRAIN LAYER'S PERMIT XO 279
....
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
I the work indicated below at-
on the
I -- .e.O side, between 1MA
' at premises owned
whose address is ARM
and to � Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with (0 Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGF) INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued to RIX* ftR2"_
the holder of Drain Layer's License No. wr Permit will expire on 19 AMAMIpt 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 ' 10 OV1111116 Md �'�
Signed ,
Connection Charge Paid . Licensed Drain Layer
' (Sig) Issued by K4ftA BM0244a fl-e,
Tax Collector
Permit Fee: Paid $5 p.
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED -A& (Date)
Ives (Sig)
INSPECTOR ws
N
C, sr--
2d caS{l�o�
* -7
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER 77o Z j ,i-f :lac
TYPE OF WORK ..,
DATE (,4v-1 7 3 PERMIT ;.Zf PIPE G"'PVC
INSTALLER -,�/
INSPECTOR ,4 . DRAWN BY