HomeMy WebLinkAboutDrain Layers Permit 649 Deming Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: �"' �� 9
DRAIN LAYER'S PERMIT
p 7
30
pig
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 649 De€mire Street on the
side, between
at premises owned byltl uu� tsm�rhi
whose address is She
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for Residential occupancy or use,
with one Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ), INDUSTRIAL WASTES :( ), OR
Connection will be made with9i w Tn,-h PI&-,t;r ki* 94
Permit to be issued to John A. Lamson
the holder of Drain Layer's License N6W-9 2QfiZ0& . Permit will expire on__ jm j 4 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the per arid-the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
F .
Signed k,
Connection Charge Paid 11/12/24 ! Licensed Drain Layer-
Issued by Ersnnk ,1_ Im7 th
Tax Collector
Permit Fee: Paid $ .- _-
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
r
� - a
*F64 I
.n
n
A
7i
� l
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER m4hpq ;
TYPE OF WORK
DATE PERMIT ,D PIPE
INSTALLER
INSPECTOR DRAWN BY