HomeMy WebLinkAboutDrain Layers Permit 728 Deming Street (2) TOWN Of SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTR ,
B/P No.: 11-C
LT South Windsor, Connecticut
List No.. ...� )
DRAIN LAYER'S PERMIT 566
a
0
13 , 19 74
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at g Ott on the
Mddft-side, between Felt Road aUd A
at premises-owned by 901WO w. rter
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X j, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with 31084"k M VIVO to a 2atozul l 6*4i d4wth of
}tee
Permit to be issued to Ad= 2w
the holder of Drain Layer's License No. Permit willexpire on 13 JidY 1974
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 or "Rot motion Or,
Signed
Connection Charge Paid /14/74 Licensed Drain Layer
For NO Issued by4. 44=x"_
Tax Collector
Permit Fee: Paid $ _A5L.
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
� M
N
7
� - P
0
flu e- s�
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION US'- s-,
OWNER rC > ,e
TYPE OF WORK AE'wor �-- --7
DATE J71,,6 PERMIT SG6 PIPE
INSTALLER' ,ogm
INSPECTOR \f DRAWN BY ,j: