HomeMy WebLinkAboutDrain Layers Permit 716 Deming Street (2) ,
► ' 01 SOUGH W�N IR
a DEP"TMEN I OF POLLUTION .0WR41
/P No. .
South Windsor, Connecticut
List No.:
AIN LAYER':S PERMIT 565
i 11 ' 19
Pursuant ti' written appl oatlor, perniission is hereby granted. bi he Licensed Drain Layer named herein to per#orm
the work indicated belaw at
E i on the
side, be:tweezi - .:•: -
at premises"owned by
whose address is
,.,.
and to :Lay House Drain, —Repair House Drain, Lay Mainf Other
for ,
3 -occupancy or use,
with `k i r<,s r f
.:Family'flnits;.with
-s._ ztctes.
tir Type,etfSearage tp,be connefted underathis permit. +
SANITAtY`SEWAGE ,
J,1-NDUSTMI L WASTBS_ . ` OR
E ( >> `5
onnection will be`made with° _ f
Permit to be
ed tb u '
� =
the'holder.of Drain Laypt' License -Permitrlll c)�pnre an MA
19
The undersigned Dram Layet hereby a teear`all't ir' elms and coridltio (s'set Forth of the rmid the reverse side
;:
thereof. Applicant has [eceaved Town Permit No and/oc C H D Permit No. r
for stfeet,O� vatioii` , . 7
777 --T-
SPECtkL.frbNWON5 {<.
1b Lit
C:
,: SLg[red 3
Connection Charje Paid
t nsed Drain Layer, ,
Issued`6y
5
Tax�Gollector
Permit See:: Paid $
--.
INSPECTION: Check Number:
INITIAL ,
(Sig)
FINAL
` .(Sig)
APPROVED s .. (Date)
\ (Sig)
INSPECTOR y
w a �
N
o(
NOTES
SOUTH WTNDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE js",*„� ERMIT r r— PIPE 1/C
INSTALLER
INSPECTOR DRAWN BY